{
  "description": "Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills",
  "_filename": "ActivityDefinition-citalopramPrescription.json",
  "package_name": "hl7.fhir.r5.core",
  "date": "2015-08-15",
  "publisher": "Motive Medical Intelligence",
  "approvalDate": "2016-03-12",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "dosage": [ {
    "text": "1 tablet oral 1 time daily",
    "route": {
      "text": "Oral route (qualifier value)",
      "coding": [ {
        "code": "26643006",
        "display": "Oral route (qualifier value)"
      } ]
    },
    "timing": {
      "repeat": {
        "period": 1,
        "frequency": 1,
        "periodUnit": "d"
      }
    },
    "doseAndRate": [ {
      "type": {
        "coding": [ {
          "code": "ordered",
          "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "display": "Ordered"
        } ]
      },
      "doseQuantity": {
        "unit": "{tbl}",
        "value": 1
      }
    } ]
  } ],
  "purpose": "Defines a guideline supported prescription for the treatment of depressive disorders",
  "name": "CitalopramPrescription",
  "productReference": {
    "reference": "#citalopramMedication"
  },
  "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 Treatment"
  } ],
  "resourceType": "ActivityDefinition",
  "title": "Citalopram Prescription",
  "package_version": "4.6.0",
  "author": [ {
    "name": "Motive Medical Intelligence",
    "telecom": [ {
      "use": "work",
      "value": "415-362-4007",
      "system": "phone"
    }, {
      "use": "work",
      "value": "info@motivemi.com",
      "system": "email"
    } ]
  } ],
  "contained": [ {
    "id": "citalopramMedication",
    "code": {
      "text": "citalopram",
      "coding": [ {
        "code": "200371",
        "system": "http://www.nlm.nih.gov/research/umls/rxnorm"
      } ]
    },
    "doseForm": {
      "text": "Tablet dose form",
      "coding": [ {
        "code": "385055001",
        "system": "http://snomed.info/sct",
        "display": "Tablet dose form"
      } ]
    },
    "ingredient": [ {
      "item": {
        "reference": {
          "reference": "#citalopramSubstance"
        }
      },
      "strengthRatio": {
        "numerator": {
          "unit": "mg",
          "value": 20
        },
        "denominator": {
          "unit": "{tbl}",
          "value": 1
        }
      }
    } ],
    "resourceType": "Medication"
  }, {
    "id": "citalopramSubstance",
    "code": {
      "concept": {
        "text": "citalopram",
        "coding": [ {
          "code": "2556",
          "system": "http://www.nlm.nih.gov/research/umls/rxnorm"
        } ]
      }
    },
    "instance": false,
    "resourceType": "Substance"
  } ],
  "usage": "This activity definition is used as part of various suicide risk order sets",
  "status": "active",
  "id": "8a5bcf02-7d39-4090-9bf2-3f3abe780f4f",
  "kind": "MedicationRequest",
  "dynamicValue": [ {
    "path": "dispenseRequest.numberOfRepeatsAllowed",
    "expression": {
      "language": "text/cql",
      "expression": "3",
      "description": "dispenseRequest.numberOfRepeatsAllowed is three (3)"
    }
  }, {
    "path": "dispenseRequest.quantity",
    "expression": {
      "language": "text/cql",
      "expression": "30 '{tbl}'",
      "description": "dispenseRequest.quantity is thirty (30) tablets"
    }
  } ],
  "url": "http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription",
  "identifier": [ {
    "use": "official",
    "value": "citalopramPrescription",
    "system": "http://motivemi.com"
  } ],
  "lastReviewDate": "2016-08-15",
  "version": "1.0.0",
  "relatedArtifact": [ {
    "url": "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf",
    "type": "citation",
    "display": "Practice Guideline for the Treatment of Patients with Major Depressive Disorder"
  }, {
    "type": "composed-of",
    "resource": "#citalopramMedication"
  } ],
  "contact": [ {
    "telecom": [ {
      "use": "work",
      "value": "415-362-4007",
      "system": "phone"
    }, {
      "use": "work",
      "value": "info@motivemi.com",
      "system": "email"
    } ]
  } ],
  "effectivePeriod": {
    "end": "2017-12-31",
    "start": "2016-01-01"
  }
}