@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/sct/> .

# - resource -------------------------------------------------------------------

[] a fhir:PlanDefinition;
  fhir:Resource.id [ fhir:value "low-suicide-risk-order-set"], [ fhir:value "referralToMentalHealthCare"], [ fhir:value "citalopramPrescription"], [ fhir:value "citalopramMedication"], [ fhir:value "citalopramSubstance"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];
  fhir:PlanDefinition.url [ fhir:value "http://motivemi.com/artifacts/PlanDefinition/low-suicide-risk-order-set"];
  fhir:PlanDefinition.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "http://motivemi.com/artifacts" ];
     fhir:Identifier.value [ fhir:value "mmi:low-suicide-risk-order-set" ]
  ];
  fhir:PlanDefinition.version [ fhir:value "1.0.0"];
  fhir:PlanDefinition.name [ fhir:value "LowSuicideRiskOrderSet"];
  fhir:PlanDefinition.title [ fhir:value "Low Suicide Risk Order Set"];
  fhir:PlanDefinition.status [ fhir:value "active"];
  fhir:PlanDefinition.experimental [ fhir:value "true"];
  fhir:PlanDefinition.date [ fhir:value "2015-08-15"];
  fhir:PlanDefinition.publisher [ fhir:value "Motive Medical Intelligence"];
  fhir:PlanDefinition.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "phone" ];
       fhir:ContactPoint.value [ fhir:value "415-362-4007" ];
       fhir:ContactPoint.use [ fhir:value "work" ]
     ], [
       fhir:index 1;
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "info@motivemi.com" ];
       fhir:ContactPoint.use [ fhir:value "work" ]
     ]
  ];
  fhir:PlanDefinition.description [ fhir:value "Orders to be applied to a patient characterized as low suicide risk."];
  fhir:PlanDefinition.useContext [
     fhir:index 0;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "age" ]
     ];
     fhir:UsageContext.value [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://meshb.nlm.nih.gov" ];
         fhir:Coding.code [ fhir:value "D000328" ];
         fhir:Coding.display [ fhir:value "Adult" ]
       ]
     ]
  ], [
     fhir:index 1;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ]
     ];
     fhir:UsageContext.value [
       a sct:87512008;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:87512008;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "87512008" ];
         fhir:Coding.display [ fhir:value "Mild major depression" ]
       ]
     ]
  ], [
     fhir:index 2;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ]
     ];
     fhir:UsageContext.value [
       a sct:40379007;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:40379007;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "40379007" ];
         fhir:Coding.display [ fhir:value "Major depression, recurrent, mild" ]
       ]
     ]
  ], [
     fhir:index 3;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ]
     ];
     fhir:UsageContext.value [
       a sct:394687007;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:394687007;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "394687007" ];
         fhir:Coding.display [ fhir:value "Low suicide risk" ]
       ]
     ]
  ], [
     fhir:index 4;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ]
     ];
     fhir:UsageContext.value [
       a sct:225337009;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:225337009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "225337009" ];
         fhir:Coding.display [ fhir:value "Suicide risk assessment" ]
       ]
     ]
  ], [
     fhir:index 5;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "user" ]
     ];
     fhir:UsageContext.value [
       a sct:309343006;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:309343006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "309343006" ];
         fhir:Coding.display [ fhir:value "Physician" ]
       ]
     ]
  ], [
     fhir:index 6;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "venue" ]
     ];
     fhir:UsageContext.value [
       a sct:440655000;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:440655000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "440655000" ];
         fhir:Coding.display [ fhir:value "Outpatient environment" ]
       ]
     ]
  ];
  fhir:PlanDefinition.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]
     ]
  ];
  fhir:PlanDefinition.purpose [ fhir:value "This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients."];
  fhir:PlanDefinition.usage [ fhir: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."];
  fhir:PlanDefinition.copyright [ fhir:value "© Copyright 2016 Motive Medical Intelligence. All rights reserved."];
  fhir:PlanDefinition.approvalDate [ fhir:value "2016-03-12"];
  fhir:PlanDefinition.lastReviewDate [ fhir:value "2016-08-15"];
  fhir:PlanDefinition.effectivePeriod [
     fhir:Period.start [ fhir:value "2016-01-01" ];
     fhir:Period.end [ fhir:value "2017-12-31" ]
  ];
  fhir:PlanDefinition.topic [
     fhir:index 0;
     fhir:CodeableConcept.text [ fhir:value "Suicide risk assessment" ]
  ];
  fhir:PlanDefinition.author [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "Motive Medical Intelligence" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "phone" ];
       fhir:ContactPoint.value [ fhir:value "415-362-4007" ];
       fhir:ContactPoint.use [ fhir:value "work" ]
     ], [
       fhir:index 1;
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "info@motivemi.com" ];
       fhir:ContactPoint.use [ fhir:value "work" ]
     ]
  ];
  fhir:PlanDefinition.relatedArtifact [
     fhir:index 0;
     fhir:RelatedArtifact.type [ fhir:value "derived-from" ];
     fhir:RelatedArtifact.display [ fhir:value "Practice Guideline for the Treatment of Patients with Major Depressive Disorder" ];
     fhir:RelatedArtifact.url [ fhir:value "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf" ];
     fhir:RelatedArtifact.document [
       fhir:Attachment.url [ fhir:value "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf" ]
     ]
  ], [
     fhir:index 1;
     fhir:RelatedArtifact.type [ fhir:value "composed-of" ];
     fhir:RelatedArtifact.resource [ fhir:value "http://example.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth" ]
  ], [
     fhir:index 2;
     fhir:RelatedArtifact.type [ fhir:value "composed-of" ];
     fhir:RelatedArtifact.resource [ fhir:value "http://example.org/fhir/ActivityDefinition/citalopramPrescription" ]
  ];
  fhir:PlanDefinition.library [
     fhir:value "http://example.org/fhir/Library/suiciderisk-orderset-logic";
     fhir:index 0
  ];
  fhir:PlanDefinition.action [
     fhir:index 0;
     fhir:PlanDefinition.title [ fhir:value "Suicide Risk Assessment and Outpatient Management" ];
     fhir:PlanDefinition.action [
       fhir:index 0;
       fhir:PlanDefinition.title [ fhir:value "Consults and Referrals" ];
       fhir:PlanDefinition.groupingBehavior [ fhir:value "logical-group" ];
       fhir:PlanDefinition.selectionBehavior [ fhir:value "any" ];
       fhir:PlanDefinition.action [
         fhir:index 0;
         fhir:PlanDefinition.textEquivalent [ fhir:value "Refer to outpatient mental health program for evaluation and treatment of mental health conditions now" ];
         fhir:PlanDefinition.definition [ fhir:value "#referralToMentalHealthCare" ];
         fhir:PlanDefinition.dynamicValue [
           fhir:index 0;
           fhir:PlanDefinition.path [ fhir:value "timing.event" ];
           fhir:PlanDefinition.expression [
             fhir:Expression.language [ fhir:value "text/cql" ];
             fhir:Expression.expression [ fhir:value "Now()" ]
           ]
         ], [
           fhir:index 1;
           fhir:PlanDefinition.path [ fhir:value "specialty" ];
           fhir:PlanDefinition.expression [
             fhir:Expression.language [ fhir:value "text/cql" ];
             fhir:Expression.expression [ fhir:value "Code '261QM0850X' from SuicideRiskLogic.\"NUCC Provider Taxonomy\" display 'Adult Mental Health'" ]
           ]
         ], [
           fhir:index 2;
           fhir:PlanDefinition.path [ fhir:value "occurrenceDateTime" ];
           fhir:PlanDefinition.expression [
             fhir:Expression.language [ fhir:value "text/cql" ];
             fhir:Expression.expression [ fhir:value "SuicideRiskLogic.ServiceRequestFulfillmentTime" ]
           ]
         ], [
           fhir:index 3;
           fhir:PlanDefinition.path [ fhir:value "subject" ];
           fhir:PlanDefinition.expression [
             fhir:Expression.language [ fhir:value "text/cql" ];
             fhir:Expression.expression [ fhir:value "SuicideRiskLogic.Patient" ]
           ]
         ], [
           fhir:index 4;
           fhir:PlanDefinition.path [ fhir:value "requester.agent" ];
           fhir:PlanDefinition.expression [
             fhir:Expression.language [ fhir:value "text/cql" ];
             fhir:Expression.expression [ fhir:value "SuicideRiskLogic.Practitioner" ]
           ]
         ], [
           fhir:index 5;
           fhir:PlanDefinition.path [ fhir:value "reasonCode" ];
           fhir:PlanDefinition.expression [
             fhir:Expression.language [ fhir:value "text/cql" ];
             fhir:Expression.expression [ fhir:value "SuicideRiskLogic.RiskAssessmentScore" ]
           ]
         ], [
           fhir:index 6;
           fhir:PlanDefinition.path [ fhir:value "reasonReference" ];
           fhir:PlanDefinition.expression [
             fhir:Expression.language [ fhir:value "text/cql" ];
             fhir:Expression.expression [ fhir:value "SuicideRiskLogic.RiskAssessment" ]
           ]
         ]
       ]
     ], [
       fhir:index 1;
       fhir:PlanDefinition.title [ fhir:value "Medications" ];
       fhir:PlanDefinition.groupingBehavior [ fhir:value "logical-group" ];
       fhir:PlanDefinition.selectionBehavior [ fhir:value "at-most-one" ];
       fhir:PlanDefinition.action [
         fhir:index 0;
         fhir:PlanDefinition.title [ fhir:value "First-Line Antidepressants" ];
         fhir:PlanDefinition.documentation [
           fhir:index 0;
           fhir:RelatedArtifact.type [ fhir:value "citation" ];
           fhir:RelatedArtifact.url [ fhir:value "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf" ];
           fhir:RelatedArtifact.document [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence" ];
               fhir:Extension.value [
                 fhir:CodeableConcept.coding [
                   fhir:index 0;
                   fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/evidence-quality" ];
                   fhir:Coding.code [ fhir:value "high" ]
                 ];
                 fhir:CodeableConcept.text [ fhir:value "High Quality" ]
               ]
             ];
             fhir:Attachment.contentType [ fhir:value "text/html" ];
             fhir:Attachment.url [ fhir:value "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf" ];
             fhir:Attachment.title [ fhir:value "Practice Guideline for the Treatment of Patients with Major Depressive Disorder" ]
           ]
         ];
         fhir:PlanDefinition.groupingBehavior [ fhir:value "logical-group" ];
         fhir:PlanDefinition.selectionBehavior [ fhir:value "at-most-one" ];
         fhir:PlanDefinition.action [
           fhir:index 0;
           fhir:PlanDefinition.title [ fhir:value "Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)" ];
           fhir:PlanDefinition.documentation [
             fhir:index 0;
             fhir:RelatedArtifact.type [ fhir:value "citation" ];
             fhir:RelatedArtifact.url [ fhir:value "http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6daeb45c-451d-b135-bf8f-2d6dff4b6b01" ];
             fhir:RelatedArtifact.document [
               fhir:Attachment.contentType [ fhir:value "text/html" ];
               fhir:Attachment.url [ fhir:value "http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6daeb45c-451d-b135-bf8f-2d6dff4b6b01" ];
               fhir:Attachment.title [ fhir:value "National Library of Medicine. DailyMed website. CITALOPRAM- citalopram hydrobromide tablet, film coated." ]
             ]
           ];
           fhir:PlanDefinition.groupingBehavior [ fhir:value "logical-group" ];
           fhir:PlanDefinition.selectionBehavior [ fhir:value "at-most-one" ];
           fhir:PlanDefinition.action [
             fhir:index 0;
             fhir:PlanDefinition.textEquivalent [ fhir:value "citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)" ];
             fhir:PlanDefinition.definition [ fhir:value "#citalopramPrescription" ];
             fhir:PlanDefinition.dynamicValue [
               fhir:index 0;
               fhir:PlanDefinition.path [ fhir:value "status" ];
               fhir:PlanDefinition.expression [
                 fhir:Expression.language [ fhir:value "text/cql" ];
                 fhir:Expression.expression [ fhir:value "'draft'" ]
               ]
             ], [
               fhir:index 1;
               fhir:PlanDefinition.path [ fhir:value "patient" ];
               fhir:PlanDefinition.expression [
                 fhir:Expression.language [ fhir:value "text/cql" ];
                 fhir:Expression.expression [ fhir:value "SuicideRiskLogic.Patient" ]
               ]
             ], [
               fhir:index 2;
               fhir:PlanDefinition.path [ fhir:value "prescriber" ];
               fhir:PlanDefinition.expression [
                 fhir:Expression.language [ fhir:value "text/cql" ];
                 fhir:Expression.expression [ fhir:value "SuicideRiskLogic.Practitioner" ]
               ]
             ], [
               fhir:index 3;
               fhir:PlanDefinition.path [ fhir:value "reasonCode" ];
               fhir:PlanDefinition.expression [
                 fhir:Expression.language [ fhir:value "text/cql" ];
                 fhir:Expression.expression [ fhir:value "SuicideRiskLogic.RiskAssessmentScore" ]
               ]
             ], [
               fhir:index 4;
               fhir:PlanDefinition.path [ fhir:value "reasonReference" ];
               fhir:PlanDefinition.expression [
                 fhir:Expression.language [ fhir:value "text/cql" ];
                 fhir:Expression.expression [ fhir:value "SuicideRiskLogic.RiskAssessment" ]
               ]
             ]
           ], [
             fhir:index 1;
             fhir:PlanDefinition.textEquivalent [ fhir:value "escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
           ], [
             fhir:index 2;
             fhir:PlanDefinition.textEquivalent [ fhir:value "fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)" ]
           ], [
             fhir:index 3;
             fhir:PlanDefinition.textEquivalent [ fhir:value "paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
           ], [
             fhir:index 4;
             fhir:PlanDefinition.textEquivalent [ fhir:value "sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
           ]
         ], [
           fhir:index 1;
           fhir:PlanDefinition.textEquivalent [ fhir:value "Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)" ]
         ], [
           fhir:index 2;
           fhir:PlanDefinition.textEquivalent [ fhir:value "Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)" ]
         ], [
           fhir:index 3;
           fhir:PlanDefinition.textEquivalent [ fhir:value "Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)" ]
         ]
       ]
     ]
  ] .

# -------------------------------------------------------------------------------------