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PlanDefinition "zika-virus-intervention" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:39 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Id:
PlanDefinition/zika-virus-intervention

Identifier:
value: zika-virus-intervention

Title:
Example Zika Virus Intervention

Status:
active

Description:
Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management.

Topic:
text: Zika Virus Management

Library:
reference: Library/zika-virus-intervention-logic

Actions

Step:
title: Zika Virus Assessment
condition:
type: applicability
expression: Is Patient Pregnant
Step:
condition:
type: applicability
expression: Should Administer Zika Virus Exposure Assessment
condition:
reference:
#administer-zika-virus-exposure-assessment
description: Administer Zika Virus Exposure Assessment
category: procedure
Step:
condition:
type: applicability
expression: Should Order Serum + Urine rRT-PCR Test
condition:
reference:
ActivityDefinition/order-serum-urine-rrt-pcr-test
Step:
condition:
type: applicability
expression: Should Order Serum Zika Virus IgM + Dengue Virus IgM
condition:
reference:
#order-serum-zika-dengue-virus-igm
description: Order Serum Zika and Dengue Virus IgM
related:
type: documentation
display: Explanation of diagnostic tests for Zika virus and which to use based on the patients clinical and exposure history.
category: diagnostic
Step:
condition:
type: applicability
expression: Should Consider IgM Antibody Testing
condition:
reference:
ActivityDefinition/consider-igm-antibody-testing
Step:
condition:
type: applicability
expression: Should Provide Mosquito Prevention and Contraception Advice
Step:
condition:
reference:
#provide-mosquito-prevention-advice
description: Provide mosquito prevention advice
related:
type: documentation
display: Advice for patients about how to avoid Mosquito bites.
related:
type: documentation
display: Advice for patients about which mosquito repellents are effective and safe to use in pregnancy. [DEET, IF3535 and Picardin are safe during]
category: communication
Step:
condition:
reference:
ActivityDefinition/provide-contraception-advice


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="zika-virus-intervention"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:39Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table class="grid dict">
        <tr>
          <td>
            <b>Id: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">PlanDefinition/zika-virus-intervention</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Identifier: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>value: </b>
            <span>zika-virus-intervention</span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Title: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Example Zika Virus Intervention</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Status: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">active</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Description: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Topic: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <span>
              <b>text: </b>
              <span>Zika Virus Management</span> </span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Library: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>reference: </b>
            <span>Library/zika-virus-intervention-logic</span> </td> </tr> </table>
      <p/>
      <h2>Actions</h2>
      <p style="width: 100%" class="hierarchy">
        <span>
          <b>Step: </b>
          <br/>
          <span style="padding-left: 25px">
            <b>title: </b>
            <span>Zika Virus Assessment</span>
            <br/> </span>
          <span style="padding-left: 25px">
            <b>condition: </b>
            <br/>
            <span style="padding-left: 50px">
              <b>type: </b>
              <span>applicability</span>
              <br/> </span>
            <span style="padding-left: 50px">
              <b>expression: </b>
              <span>Is Patient Pregnant</span>
              <br/> </span> </span>
          <span style="padding-left: 25px">
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 50px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 75px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 75px">
                  <b>expression: </b>
                  <span>Should Administer Zika Virus Exposure Assessment</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 75px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 100px">#administer-zika-virus-exposure-assessment</span>
                  <br/>
                  <span>
                    <span style="padding-left: 75px">
                      <b>description: </b>
                      <span>Administer Zika Virus Exposure Assessment</span>
                      <br/> </span>
                    <span style="padding-left: 75px">
                      <b>category: </b>
                      <span>procedure</span>
                      <br/> </span> </span> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Order Serum + Urine rRT-PCR Test</span>
                  <br/> </span> </span>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 125px">ActivityDefinition/order-serum-urine-rrt-pcr-test</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Order Serum Zika Virus IgM + Dengue Virus IgM</span>
                  <br/> </span> </span>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 125px">#order-serum-zika-dengue-virus-igm</span>
                  <br/>
                  <span>
                    <span style="padding-left: 50px">
                      <span style="padding-left: 50px">
                        <b>description: </b>
                        <span>Order Serum Zika and Dengue Virus IgM</span>
                        <br/> </span>
                      <span style="padding-left: 75px">
                        <b>related:</b>
                        <br/>
                        <span style="padding-left: 100px">
                          <b>type: </b>
                          <span>documentation</span>
                          <br/> </span>
                        <span style="padding-left: 100px">
                          <b>display: </b>
                          <span>Explanation of diagnostic tests for Zika virus and which to use based on the patients clinical and exposure history.</span>
                          <br/> </span> </span>
                      <span style="padding-left: 100px">
                        <b>category: </b>
                        <span>diagnostic</span>
                        <br/> </span> </span> </span>
                  <span/> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Consider IgM Antibody Testing</span>
                  <br/> </span> </span>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 125px">ActivityDefinition/consider-igm-antibody-testing</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Provide Mosquito Prevention and Contraception Advice</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px">
                <span>
                  <b>Step: </b>
                  <br/>
                  <span style="padding-left: 75px">
                    <b>condition: </b>
                    <br/>
                    <span style="padding-left: 100px">
                      <b>reference: </b>
                      <br/>
                      <span style="padding-left: 125px">#provide-mosquito-prevention-advice</span>
                      <span>
                        <span style="padding-left: 75px">
                          <br/>
                          <span style="padding-left: 100px">
                            <b>description: </b>
                            <span>Provide mosquito prevention advice</span>
                            <br/> </span>
                          <span style="padding-left: 75px">
                            <b>related:</b>
                            <br/>
                            <span style="padding-left: 100px">
                              <b>type: </b>
                              <span>documentation</span>
                              <br/> </span>
                            <span style="padding-left: 100px">
                              <b>display: </b>
                              <span>Advice for patients about how to avoid Mosquito bites.</span>
                              <br/> </span> </span>
                          <span style="padding-left: 75px">
                            <b>related:</b>
                            <br/>
                            <span style="padding-left: 100px">
                              <b>type: </b>
                              <span>documentation</span>
                              <br/> </span>
                            <span style="padding-left: 100px">
                              <b>display: </b>
                              <span>Advice for patients about which mosquito repellents are effective and safe to use in pregnancy. [DEET, IF3535 and Picardin are safe during]</span>
                              <br/> </span> </span>
                          <span style="padding-left: 100px">
                            <b>category: </b>
                            <span>communication</span>
                            <br/> </span> </span> </span> </span> </span>
                  <span style="padding-left: 75px"/> </span>
                <span>
                  <b>Step: </b>
                  <br/>
                  <span style="padding-left: 75px">
                    <b>condition: </b>
                    <br/>
                    <span style="padding-left: 100px">
                      <b>reference: </b>
                      <br/>
                      <span style="padding-left: 125px">ActivityDefinition/provide-contraception-advice</span>
                      <br/> </span> </span> </span> </span> </span> </span> </span> </p> </div>
  </text>
  <url value="http://example.org/PlanDefinition/zika-virus-intervention"/>
  <identifier>
    <use value="official"/>
    <value value="zika-virus-intervention"/>
  </identifier>
  <version value="2.0.0"/>
  <title value="Example Zika Virus Intervention"/>
  <status value="active"/>
  <date value="2017-01-12"/>
  <description value="Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management."/>
  <topic>
    <text value="Zika Virus Management"/>
  </topic>
  <relatedArtifact>
    <type value="derived-from"/>
    <url value="https://www.cdc.gov/mmwr/volumes/65/wr/mm6539e1.htm?s_cid=mm6539e1_w"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="predecessor"/>
    <resource>
      <reference value="PlanDefinition/zika-virus-intervention-initial"/>
    </resource>
  </relatedArtifact>
  <library>
    <reference value="Library/zika-virus-intervention-logic"/>
  </library>
  <action>
    <title value="Zika Virus Assessment"/>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="patient-view"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <expression value="Is Patient Pregnant"/>
    </condition>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Administer Zika Virus Exposure Assessment"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/administer-zika-virus-exposure-assessment"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Order Serum + Urine rRT-PCR Test"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/order-serum-urine-rrt-pcr-test"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Order Serum Zika Virus IgM + Dengue Virus IgM"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/order-serum-zika-dengue-virus-igm"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Consider IgM Antibody Testing"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/consider-igm-antibody-testing"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Provide Mosquito Prevention and Contraception Advice"/>
      </condition>
      <action>
        <definition>
          <reference value="ActivityDefinition/provide-mosquito-prevention-advice"/>
        </definition>
      </action>
      <action>
        <definition>
          <reference value="ActivityDefinition/provide-contraception-advice"/>
        </definition>
      </action>
    </action>
  </action>
</PlanDefinition>

PlanDefinition "protocol-example" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:39 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

id: example,

identifier: , system: http://acme.org, value: example-1,

title: Obesity Assessment Protocol,

status: draft,

type: condition,

purpose: Example of A medical algorithm for assessment and treatment of overweight and obesity,

author: , display: National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/health-pro/guidelines/current/obesity-guidelines/e_textbook/txgd/algorthm/algorthm.htm,

step: , name: Measure BMI, description: Measure, Weight, Height, Waist, Circumference; Calculate BMI Weight must be measured so that the BMI can be calculated. Most charts are based on weights obtained with the patient wearing undergarments and no shoes. BMI can be manually calculated (kg/[height in meters]2), but is more easily obtained from a nomogram. Waist circumference is important because evidence suggests that abdominal fat is a particularly strong determinant of cardiovascular risk in those with a BMI of 25 to 34.9 kg/m2. Increased waist circumference can also be a marker of increased risk even in persons of normal weight. The technique for measuring waist circumference is described in the text. A nutrition assessment will also help to assess the diet and physical activity habits of overweight patients, precondition: , union: , description: The practitioner must seek to determine whether the patient has ever been overweight. While a technical definition is provided, a simple question such as 'Have you ever been overweight?' will accomplish the same goal. Questions directed towards weight history, dietary habits, physical activities, and medications may provide useful information about the origins of obesity in particular patients., condition: , type: , coding: , system: http://acme.org, code: 1234, display: Obesity, valueBoolean: true, union: , description: BMI Measured in Past 2 Years For those who have not been overweight, a 2 year interval is appropriate for the reassessment of BMI. While this time span is not evidence-based, it is believed to be a reasonable compromise between the need to identify weight gain at an early stage and the need to limit the time, effort, and cost of repeated measurements., condition: , type: , text: BMI in last 2 years, valueBoolean: false, activity: , detail: , category: procedure, code: , coding: , system: http://loinc.org, code: 39156-5, display: Body mass index (BMI) [Ratio], performer: , display: Nurse Ratched, description: Extra information on activity ,


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="protocol-example"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:39Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>id: </b>example, </p>
      <p>
        <b>identifier: </b>,
        <b>system: </b>http://acme.org,
        <b>value: </b>example-1, </p>
      <p>
        <b>title: </b>Obesity Assessment Protocol, </p>
      <p>
        <b>status: </b>draft, </p>
      <p>
        <b>type: </b>condition, </p>
      <p>
        <b>purpose: </b>Example of A medical algorithm for assessment and treatment of overweight and obesity, </p>
      <p>
        <b>author: </b>,
        <b>display: </b>National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/health-pro/guidelines/current/obesity-guidelines/e_textbook/txgd/algorthm/algorthm.htm, </p>
      <p>
        <b>step: </b>,
        <b>name: </b>Measure BMI,
        <b>description: </b>Measure, Weight, Height, Waist, Circumference Calculate BMI Weight must be measured so that the BMI can be calculated. Most charts are based on weights obtained with the patient wearing undergarments and no shoes. BMI can be manually calculated (kg/[height in meters]2), but is more easily obtained from a nomogram. Waist circumference is important because evidence suggests that abdominal fat is a particularly strong determinant of cardiovascular risk in those with a BMI of 25 to 34.9 kg/m2. Increased waist circumference can also be a marker of increased risk even in persons of normal weight. The technique for measuring waist circumference is described in the text. A nutrition assessment will also help to assess the diet and physical activity habits of overweight patients,
        <b>precondition: </b>,
        <b>union: </b>,
        <b>description: </b>The practitioner must seek to determine whether the patient has ever been overweight. While a technical definition is provided, a simple question such as 'Have you ever been overweight?' will accomplish the same goal. Questions directed towards weight history, dietary habits, physical activities, and medications may provide useful information about the origins of obesity in particular patients.,
        <b>condition: </b>,
        <b>type: </b>,
        <b>coding: </b>,
        <b>system: </b>http://acme.org,
        <b>code: </b>1234,
        <b>display: </b>Obesity,
        <b>valueBoolean: </b>true,
        <b>union: </b>,
        <b>description: </b>BMI Measured in Past 2 Years For those who have not been overweight, a 2 year interval is appropriate for the reassessment of BMI. While this time span is not evidence-based, it is believed to be a reasonable compromise between the need to identify weight gain at an early stage and the need to limit the time, effort, and cost of repeated measurements.,
        <b>condition: </b>,
        <b>type: </b>,
        <b>text: </b>BMI in last 2 years,
        <b>valueBoolean: </b>false,
        <b>activity: </b>,
        <b>detail: </b>,
        <b>category: </b>procedure,
        <b>code: </b>,
        <b>coding: </b>,
        <b>system: </b>http://loinc.org,
        <b>code: </b>39156-5,
        <b>display: </b>Body mass index (BMI) [Ratio],
        <b>performer: </b>,
        <b>display: </b>Nurse Ratched,
        <b>description: </b>Extra information on activity , </p> </div>
  </text>
  <contained>
    <ActivityDefinition>
      <id value="procedure"/>
      <status value="draft"/>
      <description value="Extra information on activity "/>
      <kind value="ProcedureRequest"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="39156-5"/>
          <display value="Body mass index (BMI) [Ratio]"/>
        </coding>
      </code>
      <participant>
        <type value="practitioner"/>
        <role>
          <coding>
            <system value="http://hl7.org/fhir/practitioner-role"/>
            <code value="doctor"/>
            <display value="Doctor"/>
          </coding>
        </role>
      </participant>
    </ActivityDefinition>
  </contained>
  <identifier>
    <system value="http://acme.org"/>
    <value value="example-1"/>
  </identifier>
  <title value="Obesity Assessment Protocol"/>
  <type>
    <coding>
      <code value="protocol"/>
    </coding>
  </type>
  <status value="draft"/>
  <purpose value="Example of A medical algorithm for assessment and treatment of overweight and obesity"/>
  <useContext>
    <code>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="414916001"/>
        <display value="Obesity (disorder)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <contributor>
    <type value="author"/>
    <name value="National Heart, Lung, and Blood Institute"/>
    <contact>
      <telecom>
        <system value="url"/>
        <value value="https://www.nhlbi.nih.gov/health-pro/guidelines"/>
      </telecom>
    </contact>
  </contributor>
  <relatedArtifact>
    <type value="derived-from"/>
    <display value="Overweight and Obesity Treatment Guidelines"/>
    <url value="http://www.nhlbi.nih.gov/health-pro/guidelines/current/obesity-guidelines/e_textbook/txgd/algorthm/algorthm.htm"/>
  </relatedArtifact>
  <goal id="reduce-bmi-ratio">
    <category>
      <text value="Treatment"/>
    </category>
    <description>
      <text value="Reduce BMI to below 25"/>
    </description>
    <priority>
      <text value="medium-priority"/>
    </priority>
    <start>
      <text value="When the patient&apos;s BMI Ratio is at or above 25"/>
    </start>
    <addresses>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="414916001"/>
        <display value="Obesity (disorder)"/>
      </coding>
    </addresses>
    <documentation>
      <type value="justification"/>
      <display value="Evaluation and Treatment Strategy"/>
      <url value="https://www.nhlbi.nih.gov/health-pro/guidelines/current/obesity-guidelines/e_textbook/txgd/42.htm"/>
    </documentation>
    <target>
      <measure>
        <coding>
          <system value="http://loinc.org"/>
          <code value="39156-5"/>
          <display value="Body mass index (BMI) [Ratio]"/>
        </coding>
      </measure>
      <detailRange>
        <high>
          <value value="24.9"/>
          <unit value="kg/m2"/>
        </high>
      </detailRange>
      <due>
        <value value="1"/>
        <unit value="a"/>
      </due>
    </target>
  </goal>
  <action>
    <label value="Measure BMI"/>
    <title value="Measure, Weight, Height, Waist, Circumference Calculate BMI"/>
    <description value="Weight must be measured so that the BMI can be calculated. Most charts are based on weights obtained with the patient wearing undergarments and no shoes. BMI can be manually calculated (kg/[height in meters]2), but is more easily obtained from a nomogram. Waist circumference is important because evidence suggests that abdominal fat is a particularly strong determinant of cardiovascular risk in those with a BMI of 25 to 34.9 kg/m2. Increased waist circumference can also be a marker of increased risk even in persons of normal weight. The technique for measuring waist circumference is described in the text. A nutrition assessment will also help to assess the diet and physical activity habits of overweight patients"/>
    <goalId value="reduce-bmi-ratio"/>
    <condition>
      <kind value="applicability"/>
      <description value="The practitioner must seek to determine whether the patient has ever been overweight. While a technical definition is provided, a simple question such as &apos;Have you ever been overweight?&apos; will accomplish the same goal. Questions directed towards weight history, dietary habits, physical activities, and medications may provide useful information about the origins of obesity in particular patients. For those who have not been overweight, a 2 year interval is appropriate for the reassessment of BMI. While this time span is not evidence-based, it is believed to be a reasonable compromise between the need to identify weight gain at an early stage and the need to limit the time, effort, and cost of repeated measurements."/>
      <language value="text/cql"/>
      <expression value="exists ([Condition: Obesity]) or not exists ([Observation: BMI] O where O.effectiveDateTime 2 years or less before Today())"/>
    </condition>
    <requiredBehavior value="must-unless-documented"/>
    <cardinalityBehavior value="single"/>
    <definition>
      <reference value="#procedure"/>
    </definition>
  </action>
</PlanDefinition>

PlanDefinition "zika-virus-intervention-initial" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:38 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Id:
PlanDefinition/zika-virus-intervention-initial

Identifier:
value: zika-virus-intervention

Title:
Example Zika Virus Intervention

Status:
active

Description:
Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management.

Topic:
text: Zika Virus Management

Library:
reference: Library/zika-virus-intervention-logic

Actions

Step:
title: Zika Virus Assessment
condition:
type: applicability
expression: Is Patient Pregnant
Step:
condition:
type: applicability
expression: Should Administer Zika Virus Exposure Assessment
condition:
reference:
#administer-zika-virus-exposure-assessment
description: Administer Zika Virus Exposure Assessment
category: procedure
Step:
condition:
type: applicability
expression: Should Order Serum + Urine rRT-PCR Test
condition:
reference:
ActivityDefinition/order-serum-urine-rrt-pcr-test
Step:
condition:
type: applicability
expression: Should Order Serum Zika Virus IgM + Dengue Virus IgM
condition:
reference:
#order-serum-zika-dengue-virus-igm
description: Order Serum Zika and Dengue Virus IgM
related:
type: documentation
display: Explanation of diagnostic tests for Zika virus and which to use based on the patients clinical and exposure history.
category: diagnostic
Step:
condition:
type: applicability
expression: Should Consider IgM Antibody Testing
condition:
reference:
ActivityDefinition/consider-igm-antibody-testing
Step:
condition:
type: applicability
expression: Should Provide Mosquito Prevention and Contraception Advice
Step:
condition:
reference:
#provide-mosquito-prevention-advice
description: Provide mosquito prevention advice
related:
type: documentation
display: Advice for patients about how to avoid Mosquito bites.
related:
type: documentation
display: Advice for patients about which mosquito repellents are effective and safe to use in pregnancy. [DEET, IF3535 and Picardin are safe during]
category: communication
Step:
condition:
reference:
ActivityDefinition/provide-contraception-advice


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="zika-virus-intervention-initial"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:38Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table class="grid dict">
        <tr>
          <td>
            <b>Id: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">PlanDefinition/zika-virus-intervention-initial</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Identifier: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>value: </b>
            <span>zika-virus-intervention</span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Title: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Example Zika Virus Intervention</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Status: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">active</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Description: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Topic: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <span>
              <b>text: </b>
              <span>Zika Virus Management</span> </span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Library: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>reference: </b>
            <span>Library/zika-virus-intervention-logic</span> </td> </tr> </table>
      <p/>
      <h2>Actions</h2>
      <p style="width: 100%" class="hierarchy">
        <span>
          <b>Step: </b>
          <br/>
          <span style="padding-left: 25px">
            <b>title: </b>
            <span>Zika Virus Assessment</span>
            <br/> </span>
          <span style="padding-left: 25px">
            <b>condition: </b>
            <br/>
            <span style="padding-left: 50px">
              <b>type: </b>
              <span>applicability</span>
              <br/> </span>
            <span style="padding-left: 50px">
              <b>expression: </b>
              <span>Is Patient Pregnant</span>
              <br/> </span> </span>
          <span style="padding-left: 25px">
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 50px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 75px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 75px">
                  <b>expression: </b>
                  <span>Should Administer Zika Virus Exposure Assessment</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 75px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 100px">#administer-zika-virus-exposure-assessment</span>
                  <br/>
                  <span>
                    <span style="padding-left: 75px">
                      <b>description: </b>
                      <span>Administer Zika Virus Exposure Assessment</span>
                      <br/> </span>
                    <span style="padding-left: 75px">
                      <b>category: </b>
                      <span>procedure</span>
                      <br/> </span> </span> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Order Serum + Urine rRT-PCR Test</span>
                  <br/> </span> </span>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 125px">ActivityDefinition/order-serum-urine-rrt-pcr-test</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Order Serum Zika Virus IgM + Dengue Virus IgM</span>
                  <br/> </span> </span>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 125px">#order-serum-zika-dengue-virus-igm</span>
                  <br/>
                  <span>
                    <span style="padding-left: 50px">
                      <span style="padding-left: 50px">
                        <b>description: </b>
                        <span>Order Serum Zika and Dengue Virus IgM</span>
                        <br/> </span>
                      <span style="padding-left: 75px">
                        <b>related:</b>
                        <br/>
                        <span style="padding-left: 100px">
                          <b>type: </b>
                          <span>documentation</span>
                          <br/> </span>
                        <span style="padding-left: 100px">
                          <b>display: </b>
                          <span>Explanation of diagnostic tests for Zika virus and which to use based on the patients clinical and exposure history.</span>
                          <br/> </span> </span>
                      <span style="padding-left: 100px">
                        <b>category: </b>
                        <span>diagnostic</span>
                        <br/> </span> </span> </span>
                  <span/> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Consider IgM Antibody Testing</span>
                  <br/> </span> </span>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 125px">ActivityDefinition/consider-igm-antibody-testing</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Provide Mosquito Prevention and Contraception Advice</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px">
                <span>
                  <b>Step: </b>
                  <br/>
                  <span style="padding-left: 75px">
                    <b>condition: </b>
                    <br/>
                    <span style="padding-left: 100px">
                      <b>reference: </b>
                      <br/>
                      <span style="padding-left: 125px">#provide-mosquito-prevention-advice</span>
                      <span>
                        <span style="padding-left: 75px">
                          <br/>
                          <span style="padding-left: 100px">
                            <b>description: </b>
                            <span>Provide mosquito prevention advice</span>
                            <br/> </span>
                          <span style="padding-left: 75px">
                            <b>related:</b>
                            <br/>
                            <span style="padding-left: 100px">
                              <b>type: </b>
                              <span>documentation</span>
                              <br/> </span>
                            <span style="padding-left: 100px">
                              <b>display: </b>
                              <span>Advice for patients about how to avoid Mosquito bites.</span>
                              <br/> </span> </span>
                          <span style="padding-left: 75px">
                            <b>related:</b>
                            <br/>
                            <span style="padding-left: 100px">
                              <b>type: </b>
                              <span>documentation</span>
                              <br/> </span>
                            <span style="padding-left: 100px">
                              <b>display: </b>
                              <span>Advice for patients about which mosquito repellents are effective and safe to use in pregnancy. [DEET, IF3535 and Picardin are safe during]</span>
                              <br/> </span> </span>
                          <span style="padding-left: 100px">
                            <b>category: </b>
                            <span>communication</span>
                            <br/> </span> </span> </span> </span> </span>
                  <span style="padding-left: 75px"/> </span>
                <span>
                  <b>Step: </b>
                  <br/>
                  <span style="padding-left: 75px">
                    <b>condition: </b>
                    <br/>
                    <span style="padding-left: 100px">
                      <b>reference: </b>
                      <br/>
                      <span style="padding-left: 125px">ActivityDefinition/provide-contraception-advice</span>
                      <br/> </span> </span> </span> </span> </span> </span> </span> </p> </div>
  </text>
  <url value="http://example.org/PlanDefinition/zika-virus-intervention"/>
  <identifier>
    <use value="official"/>
    <value value="zika-virus-intervention"/>
  </identifier>
  <version value="1.0.0"/>
  <title value="Example Zika Virus Intervention"/>
  <status value="active"/>
  <date value="2016-11-14"/>
  <description value="Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management."/>
  <topic>
    <text value="Zika Virus Management"/>
  </topic>
  <relatedArtifact>
    <type value="derived-from"/>
    <url value="https://www.cdc.gov/mmwr/volumes/65/wr/mm6539e1.htm?s_cid=mm6539e1_w"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="successor"/>
    <resource>
      <reference value="PlanDefinition/zika-virus-intervention"/>
    </resource>
  </relatedArtifact>
  <library>
    <reference value="Library/zika-virus-intervention-logic"/>
  </library>
  <action>
    <title value="Zika Virus Assessment"/>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="patient-view"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <expression value="Is Patient Pregnant"/>
    </condition>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Administer Zika Virus Exposure Assessment"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/administer-zika-virus-exposure-assessment"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Order Serum + Urine rRT-PCR Test"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/order-serum-urine-rrt-pcr-test"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Order Serum Zika Virus IgM + Dengue Virus IgM"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/order-serum-zika-dengue-virus-igm"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Consider IgM Antibody Testing"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/consider-igm-antibody-testing"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Provide Mosquito Prevention and Contraception Advice"/>
      </condition>
      <action>
        <definition>
          <reference value="ActivityDefinition/provide-mosquito-prevention-advice"/>
        </definition>
      </action>
      <action>
        <definition>
          <reference value="ActivityDefinition/provide-contraception-advice"/>
        </definition>
      </action>
    </action>
  </action>
</PlanDefinition>

PlanDefinition "options-example" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:38 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

[Put rendering here]

<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="options-example"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:38Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">[Put rendering here]</div>
  </text>
  <contained>
    <ActivityDefinition>
      <id value="activitydefinition-medicationrequest-1"/>
      <status value="draft"/>
      <kind value="MedicationRequest"/>
      <productCodeableConcept>
        <text value="Medication 1"/>
      </productCodeableConcept>
    </ActivityDefinition>
  </contained>
  <contained>
    <ActivityDefinition>
      <id value="activitydefinition-medicationrequest-2"/>
      <status value="draft"/>
      <kind value="MedicationRequest"/>
      <productCodeableConcept>
        <text value="Medication 2"/>
      </productCodeableConcept>
    </ActivityDefinition>
  </contained>
  <title value="This example illustrates relationships between actions."/>
  <status value="draft"/>
  <action>
    <groupingBehavior value="logical-group"/>
    <selectionBehavior value="all"/>
    <action id="medication-action-1">
      <title value="Administer Medication 1"/>
      <definition>
        <reference value="#activitydefinition-medicationrequest-1"/>
      </definition>
    </action>
    <action id="medication-action-2">
      <title value="Administer Medication 2"/>
      <relatedAction>
        <actionId value="medication-action-1"/>
        <relationship value="after-end"/>
        <offsetDuration>
          <value value="1"/>
          <unit value="h"/>
        </offsetDuration>
      </relatedAction>
      <definition>
        <reference value="#activitydefinition-medicationrequest-2"/>
      </definition>
    </action>
  </action>
</PlanDefinition>

PlanDefinition "exclusive-breastfeeding-intervention-04" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:38 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Id:
PlanDefinition/exclusive-breastfeeding-intervention-04

Identifier:
value: exclusive-breastfeeding-intervention-04

Title:
Exclusive Breastfeeding Intervention-04

Status:
active

Description:
Exclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by creating a lactation consult for the mother if appropriate.

Topic:
text: Exclusive Breastfeeding

Library:
reference: Library/library-exclusive-breastfeeding-cds-logic

Actions

Step:
title: Mother should be referred to a lactation specialist for consultation.
condition:
type: applicability
expression: Should Create Lactation Consult
Step:
title: Create a lactation consult request.
text: Create a lactation consult request


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="exclusive-breastfeeding-intervention-04"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:38Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table class="grid dict">
        <tr>
          <td>
            <b>Id: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">PlanDefinition/exclusive-breastfeeding-intervention-04</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Identifier: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>value: </b>
            <span>exclusive-breastfeeding-intervention-04</span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Title: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Exclusive Breastfeeding Intervention-04</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Status: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">active</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Description: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Exclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by creating a lactation consult for the mother if appropriate.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Topic: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <span>
              <b>text: </b>
              <span>Exclusive Breastfeeding</span> </span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Library: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>reference: </b>
            <span>Library/library-exclusive-breastfeeding-cds-logic</span> </td> </tr> </table>
      <p/>
      <h2>Actions</h2>
      <p style="width: 100%" class="hierarchy">
        <span>
          <b>Step: </b>
          <br/>
          <span style="padding-left: 25px">
            <b>title: </b>
            <span>Mother should be referred to a lactation specialist for consultation.</span>
            <br/> </span>
          <span style="padding-left: 25px">
            <b>condition: </b>
            <br/>
            <span style="padding-left: 50px">
              <b>type: </b>
              <span>applicability</span>
              <br/> </span>
            <span style="padding-left: 50px">
              <b>expression: </b>
              <span>Should Create Lactation Consult</span>
              <br/> </span> </span>
          <span style="padding-left: 25px">
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 50px">
                <b>title: </b>
                <span>Create a lactation consult request.</span>
                <br/> </span>
              <span style="padding-left: 50px">
                <b>text: </b>
                <span>Create a lactation consult request</span>
                <br/> </span>
              <span style="padding-left: 50px"/> </span> </span> </span> </p> </div>
  </text>
  <identifier>
    <use value="official"/>
    <value value="exclusive-breastfeeding-intervention-04"/>
  </identifier>
  <version value="1.0.0"/>
  <title value="Exclusive Breastfeeding Intervention-04"/>
  <status value="active"/>
  <date value="2015-03-08"/>
  <description value="Exclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by creating a lactation consult for the mother if appropriate."/>
  <topic>
    <text value="Exclusive Breastfeeding"/>
  </topic>
  <relatedArtifact>
    <type value="derived-from"/>
    <resource>
      <reference value="Measure/measure-exclusive-breastfeeding"/>
    </resource>
  </relatedArtifact>
  <library>
    <reference value="Library/library-exclusive-breastfeeding-cds-logic"/>
  </library>
  <action>
    <title value="Mother should be referred to a lactation specialist for consultation."/>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Admission"/>
    </triggerDefinition>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Birth"/>
    </triggerDefinition>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Infant Transfer to Recovery"/>
    </triggerDefinition>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Transfer to Post-Partum"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <expression value="Should Create Lactation Consult"/>
    </condition>
    <action>
      <title value="Create a lactation consult request."/>
      <textEquivalent value="Create a lactation consult request"/>
      <type>
        <code value="create"/>
      </type>
      <dynamicValue>
        <path value="/"/>
        <expression value="Create Lactation Consult Request"/>
      </dynamicValue>
    </action>
  </action>
</PlanDefinition>

PlanDefinition "exclusive-breastfeeding-intervention-03" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:38 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Id:
PlanDefinition/exclusive-breastfeeding-intervention-03

Identifier:
value: exclusive-breastfeeding-intervention-03

Title:
Exclusive Breastfeeding Intervention-03

Status:
active

Description:
Exclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by notifying the charge and/or bedside nurse to perform the breastfeeding readiness assessment.

Topic:
text: Exclusive Breastfeeding

Library:
reference: Library/library-exclusive-breastfeeding-cds-logic

Actions

Step:
title: Mother should be administered a breastfeeding readiness assessment.
condition:
type: applicability
expression: Should Notify Nurse to Perform Assessment
Step:
title: Notify the charge nurse to perform the assessment.
text: A Breastfeeding Readiness Assessment is recommended, please administer the assessment.
Step:
title: Notify the bedside nurse to perform the assessment.
text: A Breastfeeding Readiness Assessment is recommended, please administer the assessment.


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="exclusive-breastfeeding-intervention-03"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:38Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table class="grid dict">
        <tr>
          <td>
            <b>Id: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">PlanDefinition/exclusive-breastfeeding-intervention-03</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Identifier: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>value: </b>
            <span>exclusive-breastfeeding-intervention-03</span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Title: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Exclusive Breastfeeding Intervention-03</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Status: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">active</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Description: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Exclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by notifying the charge and/or bedside nurse to perform the breastfeeding readiness assessment.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Topic: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <span>
              <b>text: </b>
              <span>Exclusive Breastfeeding</span> </span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Library: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>reference: </b>
            <span>Library/library-exclusive-breastfeeding-cds-logic</span> </td> </tr> </table>
      <p/>
      <h2>Actions</h2>
      <p style="width: 100%" class="hierarchy">
        <span>
          <b>Step: </b>
          <br/>
          <span style="padding-left: 25px">
            <b>title: </b>
            <span>Mother should be administered a breastfeeding readiness assessment.</span>
            <br/> </span>
          <span style="padding-left: 25px">
            <b>condition: </b>
            <br/>
            <span style="padding-left: 50px">
              <b>type: </b>
              <span>applicability</span>
              <br/> </span>
            <span style="padding-left: 50px">
              <b>expression: </b>
              <span>Should Notify Nurse to Perform Assessment</span>
              <br/> </span> </span>
          <span style="padding-left: 25px">
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 50px">
                <b>title: </b>
                <span>Notify the charge nurse to perform the assessment.</span>
                <br/> </span>
              <span style="padding-left: 50px">
                <b>text: </b>
                <span>A Breastfeeding Readiness Assessment is recommended, please administer the assessment.</span>
                <br/> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>title: </b>
                <span>Notify the bedside nurse to perform the assessment.</span>
                <br/> </span>
              <span style="padding-left: 75px">
                <b>text: </b>
                <span>A Breastfeeding Readiness Assessment is recommended, please administer the assessment.</span>
                <br/> </span> </span> </span> </span> </p> </div>
  </text>
  <identifier>
    <use value="official"/>
    <value value="exclusive-breastfeeding-intervention-03"/>
  </identifier>
  <version value="1.0.0"/>
  <title value="Exclusive Breastfeeding Intervention-03"/>
  <status value="active"/>
  <date value="2015-03-08"/>
  <description value="Exclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by notifying the charge and/or bedside nurse to perform the breastfeeding readiness assessment."/>
  <topic>
    <text value="Exclusive Breastfeeding"/>
  </topic>
  <relatedArtifact>
    <type value="derived-from"/>
    <resource>
      <reference value="Measure/measure-exclusive-breastfeeding"/>
    </resource>
  </relatedArtifact>
  <library>
    <reference value="Library/library-exclusive-breastfeeding-cds-logic"/>
  </library>
  <action>
    <title value="Mother should be administered a breastfeeding readiness assessment."/>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Admission"/>
    </triggerDefinition>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Birth"/>
    </triggerDefinition>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Infant Transfer to Recovery"/>
    </triggerDefinition>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Transfer to Post-Partum"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <expression value="Should Notify Nurse to Perform Assessment"/>
    </condition>
    <action>
      <title value="Notify the charge nurse to perform the assessment."/>
      <textEquivalent value="A Breastfeeding Readiness Assessment is recommended, please administer the assessment."/>
      <type>
        <code value="create"/>
      </type>
      <dynamicValue>
        <path value="/"/>
        <expression value="Communication Request to Charge Nurse"/>
      </dynamicValue>
    </action>
    <action>
      <title value="Notify the bedside nurse to perform the assessment."/>
      <textEquivalent value="A Breastfeeding Readiness Assessment is recommended, please administer the assessment."/>
      <type>
        <code value="create"/>
      </type>
      <dynamicValue>
        <path value="/"/>
        <expression value="Communication Request to Bedside Nurse"/>
      </dynamicValue>
    </action>
  </action>
</PlanDefinition>

PlanDefinition "exclusive-breastfeeding-intervention-02" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:38 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Id:
PlanDefinition/exclusive-breastfeeding-intervention-02

Identifier:
value: exclusive-breastfeeding-intervention-02

Title:
Exclusive Breastfeeding Intervention-02

Status:
active

Description:
Exclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by notifying the provider to sign the breastmilk feeding readiness assessment order, if necessary.

Topic:
text: Exclusive Breastfeeding

Library:
reference: Library/library-exclusive-breastfeeding-cds-logic

Actions

Step:
title: Mother should be administered a breastfeeding readiness assessment.
condition:
type: applicability
expression: Should Notify Provider to Sign Assessment Order
Step:
title: Notify the provider to sign the order.
text: A Breastfeeding Readiness Assessment is recommended, please authorize or reject the order.


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="exclusive-breastfeeding-intervention-02"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:38Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table class="grid dict">
        <tr>
          <td>
            <b>Id: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">PlanDefinition/exclusive-breastfeeding-intervention-02</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Identifier: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>value: </b>
            <span>exclusive-breastfeeding-intervention-02</span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Title: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Exclusive Breastfeeding Intervention-02</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Status: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">active</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Description: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Exclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by notifying the provider to sign the breastmilk feeding readiness assessment order, if necessary.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Topic: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <span>
              <b>text: </b>
              <span>Exclusive Breastfeeding</span> </span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Library: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>reference: </b>
            <span>Library/library-exclusive-breastfeeding-cds-logic</span> </td> </tr> </table>
      <p/>
      <h2>Actions</h2>
      <p style="width: 100%" class="hierarchy">
        <span>
          <b>Step: </b>
          <br/>
          <span style="padding-left: 25px">
            <b>title: </b>
            <span>Mother should be administered a breastfeeding readiness assessment.</span>
            <br/> </span>
          <span style="padding-left: 25px">
            <b>condition: </b>
            <br/>
            <span style="padding-left: 50px">
              <b>type: </b>
              <span>applicability</span>
              <br/> </span>
            <span style="padding-left: 50px">
              <b>expression: </b>
              <span>Should Notify Provider to Sign Assessment Order</span>
              <br/> </span> </span>
          <span style="padding-left: 25px">
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 50px">
                <b>title: </b>
                <span>Notify the provider to sign the order.</span>
                <br/> </span>
              <span style="padding-left: 50px">
                <b>text: </b>
                <span>A Breastfeeding Readiness Assessment is recommended, please authorize or reject the order.</span>
                <br/> </span> </span> </span> </span> </p> </div>
  </text>
  <identifier>
    <use value="official"/>
    <value value="exclusive-breastfeeding-intervention-02"/>
  </identifier>
  <version value="1.0.0"/>
  <title value="Exclusive Breastfeeding Intervention-02"/>
  <status value="active"/>
  <date value="2015-03-08"/>
  <description value="Exclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by notifying the provider to sign the breastmilk feeding readiness assessment order, if necessary."/>
  <topic>
    <text value="Exclusive Breastfeeding"/>
  </topic>
  <relatedArtifact>
    <type value="derived-from"/>
    <resource>
      <reference value="Measure/measure-exclusive-breastfeeding"/>
    </resource>
  </relatedArtifact>
  <library>
    <reference value="Library/library-exclusive-breastfeeding-cds-logic"/>
  </library>
  <action>
    <title value="Mother should be administered a breastfeeding readiness assessment."/>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Admission"/>
    </triggerDefinition>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Birth"/>
    </triggerDefinition>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Infant Transfer to Recovery"/>
    </triggerDefinition>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Transfer to Post-Partum"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <expression value="Should Notify Provider to Sign Assessment Order"/>
    </condition>
    <action>
      <title value="Notify the provider to sign the order."/>
      <textEquivalent value="A Breastfeeding Readiness Assessment is recommended, please authorize or reject the order."/>
      <type>
        <code value="create"/>
      </type>
      <dynamicValue>
        <path value="/"/>
        <expression value="Communication Request to Provider"/>
      </dynamicValue>
    </action>
  </action>
</PlanDefinition>

PlanDefinition "exclusive-breastfeeding-intervention-01" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:38 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Id:
PlanDefinition/exclusive-breastfeeding-intervention-01

Identifier:
value: exclusive-breastfeeding-intervention-01

Title:
Exclusive Breastfeeding Intervention-01

Status:
active

Description:
Exclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by ensuring that an appropriate breastfeeding readiness assessment order is created if necessary.

Topic:
text: Exclusive Breastfeeding

Library:
reference: Library/library-exclusive-breastfeeding-cds-logic

Actions

Step:
title: Mother should be administered a breastfeeding readiness assessment.
condition:
type: applicability
expression: Should Create Assessment Order
Step:
title: Create the breastfeeding readiness assessment order.
text: Administer a breastfeeding readiness assessment.
Step:
title: Notify the provider to sign the order.
text: A Breastfeeding Readiness Assessment is recommended, please authorize or reject the order.


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="exclusive-breastfeeding-intervention-01"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:38Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table class="grid dict">
        <tr>
          <td>
            <b>Id: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">PlanDefinition/exclusive-breastfeeding-intervention-01</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Identifier: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>value: </b>
            <span>exclusive-breastfeeding-intervention-01</span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Title: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Exclusive Breastfeeding Intervention-01</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Status: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">active</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Description: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Exclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by ensuring that an appropriate breastfeeding readiness assessment order is created if necessary.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Topic: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <span>
              <b>text: </b>
              <span>Exclusive Breastfeeding</span> </span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Library: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>reference: </b>
            <span>Library/library-exclusive-breastfeeding-cds-logic</span> </td> </tr> </table>
      <p/>
      <h2>Actions</h2>
      <p style="width: 100%" class="hierarchy">
        <span>
          <b>Step: </b>
          <br/>
          <span style="padding-left: 25px">
            <b>title: </b>
            <span>Mother should be administered a breastfeeding readiness assessment.</span>
            <br/> </span>
          <span style="padding-left: 25px">
            <b>condition: </b>
            <br/>
            <span style="padding-left: 50px">
              <b>type: </b>
              <span>applicability</span>
              <br/> </span>
            <span style="padding-left: 50px">
              <b>expression: </b>
              <span>Should Create Assessment Order</span>
              <br/> </span> </span>
          <span style="padding-left: 25px">
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 50px">
                <b>title: </b>
                <span>Create the breastfeeding readiness assessment order.</span>
                <br/> </span>
              <span style="padding-left: 50px">
                <b>text: </b>
                <span>Administer a breastfeeding readiness assessment.</span>
                <br/> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>title: </b>
                <span>Notify the provider to sign the order.</span>
                <br/> </span>
              <span style="padding-left: 75px">
                <b>text: </b>
                <span>A Breastfeeding Readiness Assessment is recommended, please authorize or reject the order.</span>
                <br/> </span> </span> </span> </span> </p> </div>
  </text>
  <identifier>
    <use value="official"/>
    <value value="exclusive-breastfeeding-intervention-01"/>
  </identifier>
  <version value="1.0.0"/>
  <title value="Exclusive Breastfeeding Intervention-01"/>
  <status value="active"/>
  <date value="2015-03-08"/>
  <description value="Exclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by ensuring that an appropriate breastfeeding readiness assessment order is created if necessary."/>
  <topic>
    <text value="Exclusive Breastfeeding"/>
  </topic>
  <relatedArtifact>
    <type value="derived-from"/>
    <resource>
      <reference value="Measure/measure-exclusive-breastfeeding"/>
    </resource>
  </relatedArtifact>
  <library>
    <reference value="Library/library-exclusive-breastfeeding-cds-logic"/>
  </library>
  <action>
    <title value="Mother should be administered a breastfeeding readiness assessment."/>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Admission"/>
    </triggerDefinition>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Birth"/>
    </triggerDefinition>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Infant Transfer to Recovery"/>
    </triggerDefinition>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="Transfer to Post-Partum"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <expression value="Should Create Assessment Order"/>
    </condition>
    <action>
      <title value="Create the breastfeeding readiness assessment order."/>
      <textEquivalent value="Administer a breastfeeding readiness assessment."/>
      <type>
        <code value="create"/>
      </type>
      <dynamicValue>
        <path value="/"/>
        <expression value="Create Breastfeeding Risk Assessment"/>
      </dynamicValue>
    </action>
    <action>
      <title value="Notify the provider to sign the order."/>
      <textEquivalent value="A Breastfeeding Readiness Assessment is recommended, please authorize or reject the order."/>
      <type>
        <code value="create"/>
      </type>
      <dynamicValue>
        <path value="/"/>
        <expression value="Communication Request to Provider"/>
      </dynamicValue>
    </action>
  </action>
</PlanDefinition>

PlanDefinition "low-suicide-risk-order-set" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:38 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Id:
PlanDefinition/low-suicide-risk-order-set

Identifier:
value: mmi:low-suicide-risk-order-set

Title:
Low Suicide Risk Order Set

Status:
draft

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.

Context:

system: http://hl7.org/fhir/usage-context-type

code: age

value:
system: https://meshb.nlm.nih.gov
code: D000328
display: Adult

Context:

system: http://hl7.org/fhir/usage-context-type

code: focus

value:
system: http://snomed.info/sct
code: 87512008
display: Mild major depression

Context:

system: http://hl7.org/fhir/usage-context-type

code: focus

value:
system: http://snomed.info/sct
code: 40379007
display: Major depression, recurrent, mild

Context:

system: http://hl7.org/fhir/usage-context-type

code: focus

value:
system: http://snomed.info/sct
code: 394687007
display: Low suicide risk

Context:

system: http://hl7.org/fhir/usage-context-type

code: focus

value:
system: http://snomed.info/sct
code: 225337009
display: Suicide risk assessment

Context:

system: http://hl7.org/fhir/usage-context-type

code: user

value:
system: http://snomed.info/sct
code: 309343006
display: Physician

Context:

system: http://hl7.org/fhir/usage-context-type

code: venue

value:
system: http://snomed.info/sct
code: 440655000
display: Outpatient environment

Topic:
text: Suicide risk assessment

Contributor:
author:
Motive Medical Intelligence

Library:
reference: Library/suiciderisk-orderset-logic
display: SuicideRiskLogic

Actions

Step:
title: Suicide Risk Assessment and Outpatient Management
Step:
title: Consults and Referrals
Step:
text: Refer to outpatient mental health program for evaluation and treatment of mental health conditions now
condition:
reference:
#referralToMentalHealthCare
description: refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now
category: referral
Step:
title: Medications
Step:
title: First-Line Antidepressants
Step:
title: Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)
Step:
text: citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)
condition:
reference:
#citalopramPrescription
category: drug
Step:
text: escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)
Step:
text: fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)
Step:
text: paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)
Step:
text: sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)
Step:
text: Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)
Step:
text: Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)
Step:
text: Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="low-suicide-risk-order-set"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:38Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table class="grid dict">
        <tr>
          <td>
            <b>Id: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">PlanDefinition/low-suicide-risk-order-set</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Identifier: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>value: </b>
            <span>mmi:low-suicide-risk-order-set</span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Title: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Low Suicide Risk Order Set</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Status: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">draft</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Description: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Orders to be applied to a patient characterized as low suicide risk.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Purpose: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Usage: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">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.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>age</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>https://meshb.nlm.nih.gov</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>D000328</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Adult</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>focus</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>http://snomed.info/sct</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>87512008</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Mild major depression</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>focus</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>http://snomed.info/sct</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>40379007</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Major depression, recurrent, mild</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>focus</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>http://snomed.info/sct</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>394687007</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Low suicide risk</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>focus</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>http://snomed.info/sct</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>225337009</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Suicide risk assessment</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>user</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>http://snomed.info/sct</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>309343006</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Physician</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>venue</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>http://snomed.info/sct</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>440655000</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Outpatient environment</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Topic: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <span>
              <b>text: </b>
              <span>Suicide risk assessment</span> </span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Contributor: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>
              <span>author</span>: </b> </td> </tr>
        <tr>
          <td style="padding-left: 50px padding-right: 25px">Motive Medical Intelligence</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Library: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>reference: </b>
            <span>Library/suiciderisk-orderset-logic</span> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>display: </b>
            <span>SuicideRiskLogic</span> </td> </tr> </table>
      <p/>
      <h2>Actions</h2>
      <p style="width: 100%" class="hierarchy">
        <span>
          <b>Step: </b>
          <br/>
          <span style="padding-left: 25px">
            <b>title: </b>
            <span>Suicide Risk Assessment and Outpatient Management</span>
            <br/> </span>
          <span style="padding-left: 25px">
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 50px">
                <b>title: </b>
                <span>Consults and Referrals</span>
                <br/> </span>
              <span style="padding-left: 50px">
                <span>
                  <b>Step: </b>
                  <br/>
                  <span style="padding-left: 75px">
                    <b>text: </b>
                    <span>Refer to outpatient mental health program for evaluation and treatment of mental health conditions now</span>
                    <br/> </span>
                  <span style="padding-left: 75px">
                    <b>condition: </b>
                    <br/>
                    <span style="padding-left: 100px">
                      <b>reference: </b>
                      <br/>
                      <span style="padding-left: 125px">#referralToMentalHealthCare</span>
                      <span>
                        <span style="padding-left: 75px">
                          <br/>
                          <span style="padding-left: 100px">
                            <b>description: </b>
                            <span>refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now</span>
                            <br/> </span>
                          <span style="padding-left: 100px">
                            <b>category: </b>
                            <span>referral</span>
                            <br/> </span> </span> </span> </span> </span>
                  <span style="padding-left: 50px"/> </span> </span> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 50px">
                <b>title: </b>
                <span>Medications</span>
                <br/> </span>
              <span style="padding-left: 50px">
                <span>
                  <b>Step: </b>
                  <br/>
                  <span style="padding-left: 75px">
                    <b>title: </b>
                    <span>First-Line Antidepressants</span>
                    <br/> </span>
                  <span style="padding-left: 75px">
                    <span>
                      <b>Step: </b>
                      <br/>
                      <span style="padding-left: 100px">
                        <b>title: </b>
                        <span>Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)</span>
                        <br/> </span>
                      <span style="padding-left: 100px">
                        <span>
                          <b>Step: </b>
                          <br/>
                          <span style="padding-left: 125px">
                            <b>text: </b>
                            <span>citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table 3 refills)</span>
                            <br/> </span>
                          <span style="padding-left: 125px">
                            <b>condition: </b>
                            <br/>
                            <span style="padding-left: 150px">
                              <b>reference: </b>
                              <br/>
                              <span style="padding-left: 175px">#citalopramPrescription</span>
                              <span/>
                              <span>
                                <span style="padding-left: 125px">
                                  <br/>
                                  <span style="padding-left: 150px">
                                    <b>category: </b>
                                    <span>drug</span>
                                    <br/> </span> </span> </span>
                              <span/>
                              <span/> </span> </span>
                          <span style="padding-left: 100px"/> </span>
                        <span>
                          <b>Step: </b>
                          <br/>
                          <span style="padding-left: 125px">
                            <b>text: </b>
                            <span>escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet 3 refills)</span>
                            <br/> </span>
                          <span style="padding-left: 100px"/> </span>
                        <span>
                          <b>Step: </b>
                          <br/>
                          <span style="padding-left: 125px">
                            <b>text: </b>
                            <span>fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet 3 refills)</span>
                            <br/> </span>
                          <span style="padding-left: 100px"/> </span>
                        <span>
                          <b>Step: </b>
                          <br/>
                          <span style="padding-left: 125px">
                            <b>text: </b>
                            <span>paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet 3 refills)</span>
                            <br/> </span>
                          <span style="padding-left: 100px"/> </span>
                        <span>
                          <b>Step: </b>
                          <br/>
                          <span style="padding-left: 125px">
                            <b>text: </b>
                            <span>sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet 3 refills)</span>
                            <br/> </span>
                          <span style="padding-left: 100px"/> </span> </span> </span>
                    <span>
                      <b>Step: </b>
                      <br/>
                      <span style="padding-left: 125px">
                        <b>text: </b>
                        <span>Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)</span>
                        <br/> </span>
                      <span style="padding-left: 75px"/> </span>
                    <span>
                      <b>Step: </b>
                      <br/>
                      <span style="padding-left: 100px">
                        <b>text: </b>
                        <span>Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)</span>
                        <br/> </span>
                      <span style="padding-left: 75px"/> </span>
                    <span>
                      <b>Step: </b>
                      <br/>
                      <span style="padding-left: 100px">
                        <b>text: </b>
                        <span>Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)</span>
                        <br/> </span>
                      <span style="padding-left: 100px"/> </span> </span> </span> </span> </span> </span> </span> </p> </div>
  </text>
  <contained>
    <ActivityDefinition>
      <id value="referralToMentalHealthCare"/>
      <status value="draft"/>
      <description value="refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now"/>
      <kind value="ReferralRequest"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="306206005"/>
        </coding>
        <text value="Referral to service (procedure)"/>
      </code>
      <timingTiming>
        <event>
          <extension url="http://hl7.org/fhir/StructureDefinition/cqif-cqlExpression">
            <valueString value="Now()"/>
          </extension>
        </event>
      </timingTiming>
      <participant>
        <type value="practitioner"/>
      </participant>
    </ActivityDefinition>
  </contained>
  <contained>
    <ActivityDefinition>
      <id value="citalopramPrescription"/>
      <status value="draft"/>
      <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>
        <doseQuantity>
          <value value="1"/>
          <unit value="{tbl}"/>
        </doseQuantity>
      </dosage>
      <dynamicValue>
        <path value="dispenseRequest.numberOfRepeatsAllowed"/>
        <expression value="3"/>
      </dynamicValue>
      <dynamicValue>
        <path value="dispenseRequest.quantity"/>
        <expression value="30 &apos;{tbl}&apos;"/>
      </dynamicValue>
    </ActivityDefinition>
  </contained>
  <contained>
    <Medication>
      <id value="citalopramMedication"/>
      <code>
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="200371"/>
        </coding>
        <text value="citalopram"/>
      </code>
      <form>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="385055001"/>
          <display value="Tablet dose form"/>
        </coding>
        <text value="Tablet dose form"/>
      </form>
      <ingredient>
        <itemReference>
          <reference value="#citalopramSubstance"/>
        </itemReference>
        <amount>
          <numerator>
            <value value="20"/>
            <unit value="mg"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <unit value="{tbl}"/>
          </denominator>
        </amount>
      </ingredient>
    </Medication>
  </contained>
  <contained>
    <Substance>
      <id value="citalopramSubstance"/>
      <code>
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="2556"/>
        </coding>
        <text value="citalopram"/>
      </code>
    </Substance>
  </contained>
  <url value="http://motivemi.com/artifacts/PlanDefinition/low-suicide-risk-order-set"/>
  <identifier>
    <use value="official"/>
    <system value="http://motivemi.com/artifacts"/>
    <value value="mmi:low-suicide-risk-order-set"/>
  </identifier>
  <version value="1.0.0"/>
  <name value="LowSuicideRiskOrderSet"/>
  <title value="Low Suicide Risk Order Set"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2015-08-15"/>
  <publisher value="Motive Medical Intelligence"/>
  <description value="Orders to be applied to a patient characterized as low suicide risk."/>
  <purpose value="This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients."/>
  <usage value="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 value="2016-03-12"/>
  <lastReviewDate value="2016-08-15"/>
  <effectivePeriod>
    <start value="2016-01-01"/>
    <end value="2017-12-31"/>
  </effectivePeriod>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/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://hl7.org/fhir/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://hl7.org/fhir/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://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="394687007"/>
        <display value="Low suicide risk"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="225337009"/>
        <display value="Suicide risk assessment"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/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://hl7.org/fhir/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>
  <topic>
    <text value="Suicide risk assessment"/>
  </topic>
  <contributor>
    <type value="author"/>
    <name 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>
  </contributor>
  <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>
  <copyright value="&#169; Copyright 2016 Motive Medical Intelligence. All rights reserved."/>
  <relatedArtifact>
    <type value="derived-from"/>
    <display value="Practice Guideline for the Treatment of Patients with Major Depressive Disorder"/>
    <url value="http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <resource>
      <reference value="ActivityDefinition/referralPrimaryCareMentalHealth"/>
    </resource>
  </relatedArtifact>
  <relatedArtifact>
    <type value="composed-of"/>
    <resource>
      <reference value="ActivityDefinition/citalopramPrescription"/>
    </resource>
  </relatedArtifact>
  <library>
    <reference value="Library/suiciderisk-orderset-logic"/>
    <display value="SuicideRiskLogic"/>
  </library>
  <action>
    <title value="Suicide Risk Assessment and Outpatient Management"/>
    <action>
      <title value="Consults and Referrals"/>
      <groupingBehavior value="logical-group"/>
      <selectionBehavior value="any"/>
      <action>
        <textEquivalent value="Refer to outpatient mental health program for evaluation and treatment of mental health conditions now"/>
        <definition>
          <reference value="#referralToMentalHealthCare"/>
        </definition>
        <dynamicValue>
          <path value="timing.event"/>
          <expression value="Now()"/>
        </dynamicValue>
        <dynamicValue>
          <path value="specialty"/>
          <expression value="Code &apos;261QM0850X&apos; from SuicideRiskLogic.&quot;NUCC Provider Taxonomy&quot; display &apos;Adult Mental Health&apos;"/>
        </dynamicValue>
        <dynamicValue>
          <path value="occurrenceDateTime"/>
          <expression value="SuicideRiskLogic.ReferralRequestFulfillmentTime"/>
        </dynamicValue>
        <dynamicValue>
          <path value="subject"/>
          <expression value="SuicideRiskLogic.Patient"/>
        </dynamicValue>
        <dynamicValue>
          <path value="requester.agent"/>
          <expression value="SuicideRiskLogic.Practitioner"/>
        </dynamicValue>
        <dynamicValue>
          <path value="reasonCode"/>
          <expression value="SuicideRiskLogic.RiskAssessmentScore"/>
        </dynamicValue>
        <dynamicValue>
          <path value="reasonReference"/>
          <expression value="SuicideRiskLogic.RiskAssessment"/>
        </dynamicValue>
      </action>
    </action>
    <action>
      <title value="Medications"/>
      <groupingBehavior value="logical-group"/>
      <selectionBehavior value="at-most-one"/>
      <action>
        <title value="First-Line Antidepressants"/>
        <documentation>
          <type value="citation"/>
          <document>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/evidence-quality"/>
                  <code value="high"/>
                </coding>
                <text value="High Quality"/>
              </valueCodeableConcept>
            </extension>
            <contentType value="text/html"/>
            <url value="http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"/>
            <title value="Practice Guideline for the Treatment of Patients with Major Depressive Disorder"/>
          </document>
        </documentation>
        <groupingBehavior value="logical-group"/>
        <selectionBehavior value="at-most-one"/>
        <action>
          <title value="Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)"/>
          <documentation>
            <type value="citation"/>
            <document>
              <contentType value="text/html"/>
              <url value="http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6daeb45c-451d-b135-bf8f-2d6dff4b6b01"/>
              <title value="National Library of Medicine. DailyMed website. CITALOPRAM- citalopram hydrobromide tablet, film coated."/>
            </document>
          </documentation>
          <groupingBehavior value="logical-group"/>
          <selectionBehavior value="at-most-one"/>
          <action>
            <textEquivalent value="citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table 3 refills)"/>
            <definition>
              <reference value="#citalopramPrescription"/>
            </definition>
            <dynamicValue>
              <path value="status"/>
              <expression value="&apos;draft&apos;"/>
            </dynamicValue>
            <dynamicValue>
              <path value="patient"/>
              <expression value="SuicideRiskLogic.Patient"/>
            </dynamicValue>
            <dynamicValue>
              <path value="prescriber"/>
              <expression value="SuicideRiskLogic.Practitioner"/>
            </dynamicValue>
            <dynamicValue>
              <path value="reasonCode"/>
              <expression value="SuicideRiskLogic.RiskAssessmentScore"/>
            </dynamicValue>
            <dynamicValue>
              <path value="reasonReference"/>
              <expression value="SuicideRiskLogic.RiskAssessment"/>
            </dynamicValue>
          </action>
          <action>
            <textEquivalent value="escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet 3 refills)"/>
          </action>
          <action>
            <textEquivalent value="fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet 3 refills)"/>
          </action>
          <action>
            <textEquivalent value="paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet 3 refills)"/>
          </action>
          <action>
            <textEquivalent value="sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet 3 refills)"/>
          </action>
        </action>
        <action>
          <textEquivalent value="Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)"/>
        </action>
        <action>
          <textEquivalent value="Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)"/>
        </action>
        <action>
          <textEquivalent value="Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)"/>
        </action>
      </action>
    </action>
  </action>
</PlanDefinition>

PlanDefinition "KDN5" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:38 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

National Comprehensive Cancer Network

Chemotherapy Order Template

Kidney Cancer

Gemcitabine/CARBOplatin

KDN5

INDICATION:

Metastatic or Relapsed – Collecting Duct/Medullary Subtypes

REFERENCES:

  1. NCCN Guidelines® for Kidney Cancer. V.3.2015.
  2. Oudard S, et al. J Urol. 2007;177(5):1698-702. a

NCCN SUPPORTIVE CARE:

  1. Emetic Risk:
    Day 1 Moderate
    Day 8 Low
  2. Fever Neutropenia Risk:
    Refer to NCCN Guidelines for Myeloid Growth Factors. V.2.2014

CHEMOTHERAPY REGIMEN

21-day cycle for 6 cycles

  • Gemcitabine 1250 mg/m2 IV over 30 minutes on Days 1 and 8
  • CARBOplatin AUC 5 IV over 30 minutes on Day 1

<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="KDN5"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:38Z"/>
  </meta>
  <text>
    <status value="additional"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table style="width: 100%">
        <tr>
          <td>
            <!--link to NCCN image-->
            <div style="width: 200px height: 100px vertical-align: top">National Comprehensive Cancer Network</div> </td>
          <td>
            <h3>Chemotherapy Order Template</h3>
            <h1>Kidney Cancer</h1>
            <h2>Gemcitabine/CARBOplatin</h2> </td>
          <td style="text-align: right vertical-align: top">KDN5</td> </tr> </table>
      <table style="width: 100% border-top: 1px solid border-bottom: 1px solid">
        <tr>
          <td style="width: 33% border-right: 1px solid vertical-align: top">
            <h4>INDICATION:</h4>
            <p>Metastatic or Relapsed &#8211; Collecting Duct/Medullary Subtypes</p> </td>
          <td style="width: 34% border-right: 1px solid vertical-align: top">
            <h4>REFERENCES:</h4>
            <ol>
              <li>
                <a href="http://www.example.org/professionals/physician_gls/PDF/kidney.pdf">NCCN Guidelines&#174; for Kidney Cancer. V.3.2015.</a>
              </li>
              <li>
                <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22The+Journal+of+urology%22%5BJour%5D+AND+1698%5Bpage%5D+AND+2007%5Bpdat%5D+AND+Oudard+S%5Bauthor%5D">Oudard S, et al.
                  <em>J Urol</em>. 2007177(5):1698-702.</a>
                <sup>
                  <a href="http://www.example.org/OrderTemplates/PDF/appendix_E.pdf">a</a>
                </sup> </li> </ol> </td>
          <td style="width: 33% vertical-align: top">
            <h4>NCCN SUPPORTIVE CARE:</h4>
            <ol>
              <li>
                <i>Emetic Risk:</i>
                <table>
                  <tr>
                    <td>Day 1</td>
                    <td>Moderate</td> </tr>
                  <tr>
                    <td>Day 8</td>
                    <td>Low</td> </tr> </table> </li>
              <li>
                <i>Fever Neutropenia Risk:</i>
                <br/>Refer to
                <a href="http://www.example.org/professionals/physician_gls/PDF/myeloid_growth.pdf">NCCN Guidelines for Myeloid Growth Factors. V.2.2014</a> </li> </ol> </td> </tr> </table>
      <!--same as the regimen section of the Composition resource only this version is without the style guide notes-->
      <h4>CHEMOTHERAPY REGIMEN</h4>
      <p>
        <i>21-day cycle for 6 cycles</i> </p>
      <ul>
        <li>Gemcitabine 1250 mg/m
          <sup>2</sup>IV over 30 minutes on Days 1 and 8</li>
        <li>CARBOplatin AUC 5 IV over 30 minutes on Day 1</li> </ul> </div>
  </text>
  <contained>
    <ActivityDefinition>
      <id value="1111"/>
      <status value="draft"/>
      <productCodeableConcept>
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="12574"/>
          <display value="gemcitabine"/>
        </coding>
        <text value="gemcitabine"/>
      </productCodeableConcept>
      <dosage>
        <text value="1250 mg/m&#178; IV over 30 minutes"/>
        <timing>
          <repeat>
            <duration value="30"/>
            <durationUnit value="min"/>
          </repeat>
        </timing>
        <route>
          <text value="IV"/>
        </route>
        <doseQuantity>
          <value value="1250"/>
          <unit value="mg/m&#178;"/>
        </doseQuantity>
      </dosage>
    </ActivityDefinition>
  </contained>
  <contained>
    <ActivityDefinition>
      <id value="2222"/>
      <status value="draft"/>
      <productCodeableConcept>
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="40048"/>
          <display value="Carboplatin"/>
        </coding>
        <text value="CARBOplatin"/>
      </productCodeableConcept>
      <dosage>
        <text value="AUC 5 IV over 30 minutes"/>
        <timing>
          <repeat>
            <duration value="30"/>
            <durationUnit value="min"/>
          </repeat>
        </timing>
        <route>
          <text value="IV"/>
        </route>
        <doseQuantity>
          <extension url="http://example.org/fhir/AUC-dose">
            <valueInteger value="5"/>
          </extension>
        </doseQuantity>
      </dosage>
    </ActivityDefinition>
  </contained>
  <identifier>
    <system value="http://example.org/ordertemplates"/>
    <value value="KDN5"/>
  </identifier>
  <version value="1"/>
  <title value="Gemcitabine/CARBOplatin"/>
  <type>
    <text value="Chemotherapy Order Template"/>
  </type>
  <status value="draft"/>
  <experimental value="true"/>
  <publisher value="National Comprehensive Cancer Network, Inc."/>
  <approvalDate value="2016-07-27"/>
  <lastReviewDate value="2016-07-27"/>
  <useContext>
    <extension url="http://hl7.org/fhir/StructureDefinition/usagecontext-group">
      <valueString value="A"/>
    </extension>
    <code>
      <system value="http://example.org/fhir/CodeSystem/indications"/>
      <code value="treamentSetting-or-diseaseStatus"/>
    </code>
    <valueCodeableConcept>
      <text value="Metastatic"/>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <extension url="http://hl7.org/fhir/StructureDefinition/usagecontext-group">
      <valueString value="A"/>
    </extension>
    <code>
      <system value="http://example.org/fhir/CodeSystem/indications"/>
      <code value="disease-or-histology"/>
    </code>
    <valueCodeableConcept>
      <text value="Collecting Duct/Medullary Subtypes"/>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <extension url="http://hl7.org/fhir/StructureDefinition/usagecontext-group">
      <valueString value="A"/>
    </extension>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <text value="Kidney Cancer"/>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <extension url="http://hl7.org/fhir/StructureDefinition/usagecontext-group">
      <valueString value="B"/>
    </extension>
    <code>
      <system value="http://example.org/fhir/CodeSystem/indications"/>
      <code value="treatmentSetting-or-diseaseStatus"/>
    </code>
    <valueCodeableConcept>
      <text value="Relapsed"/>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <extension url="http://hl7.org/fhir/StructureDefinition/usagecontext-group">
      <valueString value="B"/>
    </extension>
    <code>
      <system value="http://example.org/fhir/CodeSystem/indications"/>
      <code value="disease-or-histology"/>
    </code>
    <valueCodeableConcept>
      <text value="Collecting Duct/Medullary Subtypes"/>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <extension url="http://hl7.org/fhir/StructureDefinition/usagecontext-group">
      <valueString value="B"/>
    </extension>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <text value="Kidney Cancer &#8211; Collecting Duct/Medullary Subtypes - Metastatic"/>
    </valueCodeableConcept>
  </useContext>
  <contributor>
    <type value="author"/>
    <name value="Lee Surprenant"/>
  </contributor>
  <copyright value="All rights reserved."/>
  <relatedArtifact>
    <type value="derived-from"/>
    <display value="NCCN Guidelines for Kidney Cancer. V.2.2016"/>
    <url value="http://www.example.org/professionals/physician_gls/PDF/kidney.pdf"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="citation">
      <extension url="http://example.org/fhir/regimenReferenceType">
        <valueCode value="a"/>
      </extension>
    </type>
    <citation value="Oudard S, et al. J Urol. 2007177(5):1698-702"/>
    <url value="http://www.ncbi.nlm.nih.gov/pubmed/17437788"/>
  </relatedArtifact>
  <action>
    <selectionBehavior value="exactly-one"/>
    <action>
      <selectionBehavior value="all"/>
      <action>
        <groupingBehavior value="sentence-group"/>
        <selectionBehavior value="exactly-one"/>
        <action id="cycle-definition-1">
          <textEquivalent value="21-day cycle for 6 cycles"/>
          <timingTiming>
            <repeat>
              <count value="6"/>
              <duration value="21"/>
              <durationUnit value="d"/>
            </repeat>
          </timingTiming>
          <action id="action-1">
            <extension url="http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle">
              <extension url="day">
                <valueInteger value="1"/>
              </extension>
              <extension url="day">
                <valueInteger value="8"/>
              </extension>
            </extension>
            <textEquivalent value="Gemcitabine 1250 mg/m&#178; IV over 30 minutes on days 1 and 8"/>
            <definition>
              <reference value="#1111"/>
            </definition>
          </action>
          <action id="action-2">
            <extension url="http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle">
              <extension url="day">
                <valueInteger value="1"/>
              </extension>
            </extension>
            <textEquivalent value="CARBOplatin AUC 5 IV over 30 minutes on Day 1"/>
            <relatedAction>
              <actionId value="action-1"/>
              <relationship value="concurrent-with-start"/>
            </relatedAction>
            <definition>
              <reference value="#2222"/>
            </definition>
          </action>
        </action>
      </action>
    </action>
  </action>
</PlanDefinition>

PlanDefinition "chlamydia-screening-intervention" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:38 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Id:
PlanDefinition/chlamydia-screening-intervention

Identifier:
value: ChlamydiaScreening_CDS_UsingCommon

Title:
Chalmydia Screening CDS Example Using Common

Status:
draft

Description:
Chlamydia Screening CDS Example Using Common

Topic:
text: Chlamydia Screeening

Library:
reference: Library/example

Actions

Step:
title: Patient has not had chlamydia screening within the recommended timeframe...
condition:
type: applicability
expression: NoScreening


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="chlamydia-screening-intervention"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:38Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table class="grid dict">
        <tr>
          <td>
            <b>Id: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">PlanDefinition/chlamydia-screening-intervention</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Identifier: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>value: </b>
            <span>ChlamydiaScreening_CDS_UsingCommon</span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Title: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Chalmydia Screening CDS Example Using Common</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Status: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">draft</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Description: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Chlamydia Screening CDS Example Using Common</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Topic: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <span>
              <b>text: </b>
              <span>Chlamydia Screeening</span> </span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Library: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>reference: </b>
            <span>Library/example</span> </td> </tr> </table>
      <p/>
      <h2>Actions</h2>
      <p style="width: 100%" class="hierarchy">
        <span>
          <b>Step: </b>
          <br/>
          <span style="padding-left: 25px">
            <b>title: </b>
            <span>Patient has not had chlamydia screening within the recommended timeframe...</span>
            <br/> </span>
          <span style="padding-left: 25px">
            <b>condition: </b>
            <br/>
            <span style="padding-left: 50px">
              <b>type: </b>
              <span>applicability</span> </span>
            <br/>
            <span style="padding-left: 50px">
              <b>expression: </b>
              <span>NoScreening</span> </span> </span> </span> </p> </div>
  </text>
  <identifier>
    <use value="official"/>
    <value value="ChlamydiaScreening_CDS_UsingCommon"/>
  </identifier>
  <version value="2.0.0"/>
  <title value="Chalmydia Screening CDS Example Using Common"/>
  <status value="draft"/>
  <date value="2015-07-22"/>
  <description value="Chlamydia Screening CDS Example Using Common"/>
  <topic>
    <text value="Chlamydia Screeening"/>
  </topic>
  <library>
    <reference value="Library/example"/>
  </library>
  <action>
    <title value="Patient has not had chlamydia screening within the recommended timeframe..."/>
    <condition>
      <kind value="applicability"/>
      <expression value="NoScreening"/>
    </condition>
    <dynamicValue>
      <path value="~"/>
      <expression value="ChlamydiaScreeningRequest"/>
    </dynamicValue>
  </action>
</PlanDefinition>