<?xml version=“1.0” encoding=“UTF-8”?><ActivityDefinition xmlns=“hl7.org/fhir”>
<id value="citalopramPrescription"/> <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: citalopramPrescription</p><p><b>contained</b>: , </p><p><b>url</b>: <a>http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription</a></p><p><b>identifier</b>: citalopramPrescription (OFFICIAL)</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: CitalopramPrescription</p><p><b>title</b>: Citalopram Prescription</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: Aug 15, 2015</p><p><b>publisher</b>: Motive Medical Intelligence</p><p><b>description</b>: Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills</p><p><b>purpose</b>: Defines a guideline supported prescription for the treatment of depressive disorders</p><p><b>usage</b>: This activity definition is used as part of various suicide risk order sets</p><p><b>approvalDate</b>: Mar 12, 2016</p><p><b>lastReviewDate</b>: Aug 15, 2016</p><p><b>effectivePeriod</b>: Jan 1, 2016 --> Dec 31, 2017</p><p><b>useContext</b>: , , , , , , </p><p><b>jurisdiction</b>: United States Minor Outlying Islands (the) <span>(Details : {urn:iso:std:iso:3166 code 'US' = 'United States Minor Outlying Islands (the))</span></p><p><b>topic</b>: Mental Health Treatment <span>(Details )</span></p><p><b>contributor</b>: </p><p><b>contact</b>: </p><p><b>copyright</b>: © Copyright 2016 Motive Medical Intelligence. All rights reserved.</p><p><b>relatedArtifact</b>: , </p><p><b>kind</b>: MedicationRequest</p><p><b>product</b>: id: citalopramMedication; citalopram <span>(Details : {RxNorm code '200371' = '200371)</span>; Tablet dose form <span>(Details : {SNOMED CT code '385055001' = 'Tablet', given as 'Tablet dose form'})</span></p><p><b>dosage</b>: </p><blockquote><p><b>dynamicValue</b></p><p><b>description</b>: dispenseRequest.numberOfRepeatsAllowed is three (3)</p><p><b>path</b>: dispenseRequest.numberOfRepeatsAllowed</p><p><b>language</b>: text/cql</p><p><b>expression</b>: 3</p></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>description</b>: dispenseRequest.quantity is thirty (30) tablets</p><p><b>path</b>: dispenseRequest.quantity</p><p><b>language</b>: text/cql</p><p><b>expression</b>: 30 '{tbl}'</p></blockquote></div></text><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/ActivityDefinition/citalopramPrescription"/> <identifier> <use value="official"/> <system value="http://motivemi.com"/> <value value="citalopramPrescription"/> </identifier> <version value="1.0.0"/> <name value="CitalopramPrescription"/> <title value="Citalopram Prescription"/> <status value="active"/> <experimental value="true"/> <date value="2015-08-15"/> <publisher value="Motive Medical Intelligence"/> <description value="Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills"/> <purpose value="Defines a guideline supported prescription for the treatment of depressive disorders"/> <usage value="This activity definition is used as part of various suicide risk order sets"/> <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="225444004"/> <display value="At risk for suicide (finding)"/> </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="306206005"/> <display value="Referral to service (procedure)"/> </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="Mental Health Treatment"/> </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="© Copyright 2016 Motive Medical Intelligence. All rights reserved."/> <relatedArtifact> <type value="citation"/> <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="#citalopramMedication"/> </resource> </relatedArtifact> <kind value="MedicationRequest"/> <productReference> <reference value="#citalopramMedication"/> </productReference> <dosage> <text value="1 tablet oral 1 time daily"/> <timing> <repeat> <frequency value="1"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <route> <coding> <code value="26643006"/> <display value="Oral route (qualifier value)"/> </coding> <text value="Oral route (qualifier value)"/> </route> <doseQuantity> <value value="1"/> <unit value="{tbl}"/> </doseQuantity> </dosage> <dynamicValue> <description value="dispenseRequest.numberOfRepeatsAllowed is three (3)"/> <path value="dispenseRequest.numberOfRepeatsAllowed"/> <language value="text/cql"/> <expression value="3"/> </dynamicValue> <dynamicValue> <description value="dispenseRequest.quantity is thirty (30) tablets"/> <path value="dispenseRequest.quantity"/> <language value="text/cql"/> <expression value="30 '{tbl}'"/> </dynamicValue>
</ActivityDefinition>