{"resourceType":"DetectedIssue","id":"duplicate","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\n      \u003cp\u003eSimilar test was performed within the past 14 days\u003c/p\u003e\n      \u003cul\u003e\n        \u003cli\u003e\n          \u003ca href\u003d\"ServiceRequest/id\"\u003eChest CT - ordered May 8, 2013 by Dr. Adam Careful\u003c/a\u003e\n        \u003c/li\u003e\n        \u003cli\u003e\n          \u003ca href\u003d\"ImagingStudy/example\"\u003eImage 1 from Series 3: CT Images on Patient MINT (MINT1234) taken at 1-Jan 2011 01:20 AM\u003c/a\u003e\n        \u003c/li\u003e\n      \u003c/ul\u003e\n    \u003c/div\u003e"},"identifier":[{"use":"official","system":"http://example.org","value":"12345"}],"status":"final","code":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"DUPTHPY","display":"Duplicate Therapy Alert"}]},"subject":{"reference":"Patient/dicom"},"identifiedDateTime":"2013-05-08","author":{"reference":"Device/example"},"implicated":[{"reference":"ServiceRequest/di","display":"Chest CT - ordered May 8, 2013 by Dr. Adam Careful"},{"reference":"ImagingStudy/example","display":"Image 1 from Series 3: CT Images on Patient MINT (MINT1234) taken at 1-Jan 2011 01:20 AM"}],"detail":"Similar test was performed within the past 14 days","reference":"http://www.tmhp.com/RadiologyClinicalDecisionSupport/2011/CHEST%20IMAGING%20GUIDELINES%202011.pdf"}
{"resourceType":"DetectedIssue","id":"lab","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e[Put rendering here]\u003c/div\u003e"},"status":"final"}
{"resourceType":"DetectedIssue","id":"allergy","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e[Put rendering here]\u003c/div\u003e"},"status":"final"}
{"resourceType":"DetectedIssue","id":"ddi","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\n      \u003cp\u003e\u003cb\u003eSeverity: High\u003c/b\u003e - Risk of internal bleeding\u003c/p\u003e\n      \u003cp\u003eThose who take acetaminophen along with the widely used blood-thinning drug warfarin may face the risk of serious internal bleeding. People on warfarin who take acetaminophen for at least seven days in a row should be closely watched for bleeding.\u003c/p\u003e\n      \u003cul\u003e\n        \u003cli\u003e\u003ca href\u003d\"MedicationStatement/tylenol\"\u003e500 mg Acetaminophen tablet 1/day, PRN since 2010\u003c/a\u003e\u003c/li\u003e\n        \u003cli\u003e\u003ca href\u003d\"MedicationRequest/warfarin\"\u003eWarfarin 1 MG TAB prescribed Jan. 5, 2014\u003c/a\u003e\u003c/li\u003e\n      \u003c/ul\u003e\n      \u003cp\u003eMitigation: Jan 5, 2014 by Dr. Adam Careful: \u003c/p\u003e\n      \u003cp\u003eAsked patient to discontinue regular use of Tylenol and to consult with clinician if they need to resume to allow appropriate INR monitoring\u003c/p\u003e\n    \u003c/div\u003e"},"status":"final","category":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"DRG","display":"Drug Interaction Alert"}]}],"code":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"DRG","display":"Drug Interaction Alert"}]},"severity":{"coding":[{"system":"http://hl7.org/fhir/detectedissue-severity","code":"high","display":"High"}]},"subject":{"reference":"Device/example"},"identifiedDateTime":"2014-01-05","implicated":[{"reference":"MedicationStatement/example001","display":"500 mg Acetaminophen tablet 1/day, PRN since 2010"},{"reference":"MedicationRequest/medrx0331","display":"Warfarin 1 MG TAB prescribed Jan. 15, 2015"}],"detail":"Risk of internal bleeding.  Those who take acetaminophen along with the widely used blood-thinning drug warfarin may face the risk of serious internal bleeding. People on warfarin who take acetaminophen for at least seven days in a row should be closely watched for bleeding.","mitigation":[{"action":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","code":"13","display":"Stopped Concurrent Therapy"}],"text":"Asked patient to discontinue regular use of Tylenol and to consult with clinician if they need to resume to allow appropriate INR monitoring"},"date":"2014-01-05","author":{"reference":"Practitioner/example","display":"Dr. Adam Careful"}}]}