{
  "description": "refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now",
  "_filename": "ActivityDefinition-referralPrimaryCareMentalHealthEx.json",
  "package_name": "hl7.fhir.r5.examples",
  "date": "2017-03-03T14:06:00Z",
  "publisher": "Motive Medical Intelligence",
  "approvalDate": "2017-03-01",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "purpose": "Defines a referral to a mental-health integrated care program for use in suicide risk order sets. The definition is independent of the order set in which it appears to allow reuse of the general definition of the referrral.",
  "name": "ReferralPrimaryCareMentalHealth",
  "useContext": [ {
    "code": {
      "code": "age",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
    },
    "valueCodeableConcept": {
      "coding": [ {
        "code": "D000328",
        "system": "https://meshb.nlm.nih.gov",
        "display": "Adult"
      } ]
    }
  }, {
    "code": {
      "code": "focus",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
    },
    "valueCodeableConcept": {
      "coding": [ {
        "code": "87512008",
        "system": "http://snomed.info/sct",
        "display": "Mild major depression"
      } ]
    }
  }, {
    "code": {
      "code": "focus",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
    },
    "valueCodeableConcept": {
      "coding": [ {
        "code": "40379007",
        "system": "http://snomed.info/sct",
        "display": "Major depression, recurrent, mild"
      } ]
    }
  }, {
    "code": {
      "code": "focus",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
    },
    "valueCodeableConcept": {
      "coding": [ {
        "code": "225444004",
        "system": "http://snomed.info/sct",
        "display": "At risk for suicide (finding)"
      } ]
    }
  }, {
    "code": {
      "code": "focus",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
    },
    "valueCodeableConcept": {
      "coding": [ {
        "code": "306206005",
        "system": "http://snomed.info/sct",
        "display": "Referral to service (procedure)"
      } ]
    }
  }, {
    "code": {
      "code": "user",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
    },
    "valueCodeableConcept": {
      "coding": [ {
        "code": "309343006",
        "system": "http://snomed.info/sct",
        "display": "Physician"
      } ]
    }
  }, {
    "code": {
      "code": "venue",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
    },
    "valueCodeableConcept": {
      "coding": [ {
        "code": "440655000",
        "system": "http://snomed.info/sct",
        "display": "Outpatient environment"
      } ]
    }
  } ],
  "copyright": "© Copyright 2016 Motive Medical Intelligence. All rights reserved.",
  "type": null,
  "experimental": "true",
  "topic": [ {
    "text": "Mental Health Referral"
  } ],
  "participant": [ {
    "type": "practitioner"
  } ],
  "resourceType": "ActivityDefinition",
  "title": "Referral to Primary Care Mental Health",
  "package_version": "5.0.0-snapshot3",
  "author": [ {
    "name": "Motive Medical Intelligence",
    "telecom": [ {
      "use": "work",
      "value": "415-362-4007",
      "system": "phone"
    }, {
      "use": "work",
      "value": "info@motivemi.com",
      "system": "email"
    } ]
  } ],
  "timingTiming": {
    "_event": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
        "valueExpression": {
          "language": "text/cql",
          "expression": "Now()"
        }
      } ]
    } ]
  },
  "usage": "This activity definition is used as the definition of a referral request within various suicide risk order sets. Elements that apply universally are defined here, while elements that apply to the specific setting of a referral within a particular order set are defined in the order set.",
  "status": "active",
  "id": "74f2f554-1b01-42ab-9fb9-8f19bb5caefe",
  "kind": "ServiceRequest",
  "url": "http://motivemi.com/artifacts/ActivityDefinition/referralPrimaryCareMentalHealthEx",
  "code": {
    "text": "Referral to service (procedure)",
    "coding": [ {
      "code": "306206005",
      "system": "http://snomed.info/sct"
    } ]
  },
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.4.642.19.8",
    "system": "urn:ietf:rfc:3986"
  }, {
    "use": "official",
    "value": "referralPrimaryCareMentalHealth",
    "system": "http://motivemi.com/artifacts"
  } ],
  "lastReviewDate": "2017-03-01",
  "version": "1.1.0",
  "relatedArtifact": [ {
    "type": "citation",
    "display": "Practice Guideline for the Treatment of Patients with Major Depressive Disorder",
    "document": {
      "url": "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"
    }
  }, {
    "type": "predecessor",
    "resource": "http://example.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth-initial"
  } ],
  "contact": [ {
    "telecom": [ {
      "use": "work",
      "value": "415-362-4007",
      "system": "phone"
    }, {
      "use": "work",
      "value": "info@motivemi.com",
      "system": "email"
    } ]
  } ],
  "effectivePeriod": {
    "end": "2017-12-31",
    "start": "2017-03-01"
  }
}