Standardized Medication Profile (SMP) FHIR IG, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/smp-ig/ and changes regularly. See the Directory of published versions
Document Details
Last updated: 2026-01-07 10:51:39+0000
Profile: Standardized Medication Profile - Bundle Medication Action Plan
Final Document at 2026-01-07 by Practitioner Kevin James for Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16)
Document Subject
version: 55; Last updated: 2025-08-08 03:25:47+0000; Language: en-US;
Information Source: #ixWqADpKeNSJ5wQK
Profile: US Core Patient Profile
Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16)
| Active: | true | Marital Status: | unknown | ||
| Other Ids: |
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| Contact Detail |
| ||||
| Language: | English (preferred) | ||||
| son: |
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| daughter in-law: |
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| US Core Race Extension: |
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Document Content
Entry 2 - fullUrl = https://gw.interop.community/paciosandbox/open/MedicationStatement/bsj1-smp-medstmt-clopidogrel-1-11
Resource MedicationStatement:
version: 22; Last updated: 2025-07-16 14:58:10+0000;
Information Source: #jIPXEslXV66kTpt6
status: active
status: recorded
subject: Betsy Smith-Johnson
dateAsserted: 2025-05-04 15:00:00-0800
informationSource: Organization Metro Hospital Emergency Department
Entry 3 - fullUrl = https://gw.interop.community/paciosandbox/open/MedicationStatement/bsj1-smp-medstmt-sertraline-1-8
Resource MedicationStatement:
version: 22; Last updated: 2025-07-16 14:58:11+0000;
Information Source: #5QRULuxUKVqSCeIU
status: active
status: recorded
subject: Betsy Smith-Johnson
dateAsserted: 2025-05-03 14:45:00-0800
informationSource: Organization Metro Hospital Emergency Department
Entry 4 - fullUrl = https://gw.interop.community/paciosandbox/open/MedicationRequest/bsj1-smp-medrx-clopidogrel-1-11
Resource MedicationRequest:
status: Active
intent: Order
subject: Betsy Smith-Johnson
authoredOn: 2025-05-04 15:00:00-0800
Entry 5 - fullUrl = https://gw.interop.community/paciosandbox/open/MedicationRequest/bsj1-smp-medrx-sertraline-1-8
Resource MedicationRequest:
status: Active
intent: Order
subject: Betsy Smith-Johnson
authoredOn: 2025-05-03 14:45:00-0800
Entry 6 - fullUrl = https://gw.interop.community/paciosandbox/open/DetectedIssue/betsysmith-johnson01-di01-Drug-druginteraction0
Resource DetectedIssue:
version: 1; Last updated: 2026-01-07 10:51:49+0000;
Information Source: #fIOfmNQFLI3AB7nY
Profile: Standardized Medication Profile - Medication Action Plan Detected Issue
status: Preliminary
code: Drug Interaction Alert
severity: High
identified: 2026-01-07 10:51:49+0000
author: Practitioner Kevin James
implicated:
- Clopidogrel Bisulfate Oral Tablet 75 MG (Clopidogrel Bisulfate)
- Sertraline HCl Oral Tablet 25 MG (Sertraline HCl)
detail:
Selective serotonin reuptake inhibitors (eg, Sertraline HCl Oral Tablet 25 MG) may enhance the antiplatelet effect and increase the bleeding risk of purinergic signaling receptor Y12 (P2Y12) inhibitors such as Clopidogrel Bisulfate Oral Tablet 75 MG
Mitigations
Action Date Author drug drug interaction, change medicine dose 2026-01-07 10:51:49+0000 Practitioner Kevin James
Entry 7 - fullUrl = https://gw.interop.community/paciosandbox/open/CarePlan/betsysmith-johnson01-MAP-Drug-druginteraction0
Resource CarePlan:
version: 5; Last updated: 2026-01-07 10:51:56+0000;
Information Source: #svnLyd8XoofodC2c
Profile: Standardized Medication Profile - Medication Action Plan
status: Active
intent: Plan
category: Medication management plan (record artifact)
title: Clopidogrel Bisulfate Oral Tablet 75 MG,Sertraline HCl Oral Tablet 25 MG Betsy Smith-Johnson Med Action Plan (MAP)
description: Change medication dose Betsy Smith-Johnson Med Action Plan (MAP)
subject: Betsy Smith-Johnson
created: 2026-01-07
supportingInfo: DetectedIssue Drug Interaction Alert
Entry 8 - fullUrl = https://gw.interop.community/paciosandbox/open/MedicationStatement/bsj1-smp-medstmt-jardiance-1-5
Resource MedicationStatement:
version: 22; Last updated: 2025-07-16 14:58:11+0000;
Information Source: #Fr7NNcUhcl0LXUxA
status: intended
status: recorded
subject: Betsy Smith-Johnson
dateAsserted: 2025-05-03 14:45:00-0800
informationSource: Organization Metro Hospital Emergency Department
Entry 9 - fullUrl = https://gw.interop.community/paciosandbox/open/MedicationStatement/bsj1-smp-medstmt-metformin-0-12
Resource MedicationStatement:
version: 22; Last updated: 2025-07-16 14:57:28+0000;
Information Source: #2KCOUzHWQLHmJVPh
status: active
status: recorded
subject: Betsy Smith-Johnson
dateAsserted: 2025-04-22 09:30:00-0800
informationSource: Organization Michigan Primary Health Care Associates
Entry 10 - fullUrl = https://gw.interop.community/paciosandbox/open/MedicationRequest/bsj1-smp-medrx-jardiance-1-5
Resource MedicationRequest:
status: Draft
intent: Order
subject: Betsy Smith-Johnson
authoredOn: 2025-05-03 14:45:00-0800
Entry 11 - fullUrl = https://gw.interop.community/paciosandbox/open/MedicationRequest/bsj1-smp-medrx-metformin-0-12
Resource MedicationRequest:
status: Active
intent: Order
subject: Betsy Smith-Johnson
authoredOn: 2025-04-22 09:30:00-0800
requester: PractitionerRole Primary care provider (occupation)
Entry 12 - fullUrl = https://gw.interop.community/paciosandbox/open/DetectedIssue/betsysmith-johnson01-di01-Drug-druginteraction1
Resource DetectedIssue:
version: 1; Last updated: 2026-01-07 10:51:56+0000;
Information Source: #fIOfmNQFLI3AB7nY
Profile: Standardized Medication Profile - Medication Action Plan Detected Issue
status: Preliminary
code: Drug Interaction Alert
severity: High
identified: 2026-01-07 10:51:56+0000
author: Practitioner Kevin James
implicated:
- Jardiance Oral Tablet 10 MG (Empagliflozin)
- metFORMIN HCl Oral Tablet 500 MG (Metformin HCl)
- Sertraline HCl Oral Tablet 25 MG (Sertraline HCl)
detail:
Selective Serotonin Reuptake Inhibitors (eg, Sertraline HCl Oral Tablet 25 MG) may enhance the hypoglycemic effect of Agents with Blood Glucose Lowering Effects (eg, Jardiance Oral Tablet 10 MG and metFORMIN HCl Oral Tablet 500 MG)
Mitigations
Action Date Author drug drug interaction, change medicine dose 2026-01-07 10:51:56+0000 Practitioner Kevin James
Entry 13 - fullUrl = https://gw.interop.community/paciosandbox/open/CarePlan/betsysmith-johnson01-MAP-Drug-druginteraction1
Resource CarePlan:
version: 5; Last updated: 2026-01-07 10:52:00+0000;
Information Source: #svnLyd8XoofodC2c
Profile: Standardized Medication Profile - Medication Action Plan
status: Active
intent: Plan
category: Medication management plan (record artifact)
title: Jardiance Oral Tablet 10 MG,metFORMIN HCl Oral Tablet 500 MG,Sertraline HCl Oral Tablet 25 MG Betsy Smith-Johnson Med Action Plan (MAP)
description: Change medication dose Betsy Smith-Johnson Med Action Plan (MAP)
subject: Betsy Smith-Johnson
created: 2026-01-07
supportingInfo: DetectedIssue Drug Interaction Alert
Entry 14 - fullUrl = https://gw.interop.community/paciosandbox/open/Practitioner/Practitioner-KevinJames
Resource Practitioner:
version: 1; Last updated: 2025-07-15 13:17:30+0000;
Information Source: #GwLEnFTWbl2jKe7j
identifier:
http://example.org/fhir/MI-state-license/4804289999active: true
name: Kevin James
telecom: ph: (800) 555-9999, kjames@acmessential.com
gender: Male
address: 1111 Northwest Street Detroit MI 48214 US
Entry 15 - fullUrl = https://gw.interop.community/paciosandbox/open/DocumentReference/ActualMeds-DocumentReference-PatientSummary20260107105203
Resource DocumentReference:
status: Current
type: Community health care Discharge summary
date: 2026-01-07 10:52:03+0000
content
Attachments
ContentType Data Title Creation application/pdf (base64 data - 553,640 base64 chars) Medication Reconciliation Encounter Summary20251230014702 2026-01-07 10:52:03+0000
Entry 16 - fullUrl = https://gw.interop.community/paciosandbox/open/Patient/patient-betsysmith-johnson01
Resource Patient:
version: 55; Last updated: 2025-08-08 03:25:47+0000; Language: en-US;
Information Source: #ixWqADpKeNSJ5wQK
Profile: US Core Patient Profile
Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16)
Active: true Marital Status: unknown Other Ids:
- Medical Record Number/1032702 (use: usual, )
- United States Social Security Number/SS
Contact Detail
- ph: 555-555-1111(Mobile)
- mmoen+betsysmithjohnson@mydirectives.com
- 17040 E Warren Avenue, Detroit, MI 48224
Language: English (preferred) son:
- Charles Johnson
- 17040 E Warren Avenue, Detroit, MI 48224
- ph: (555) 555-2222
daughter in-law:
- Lisa Johnson
- 17040 E Warren Avenue, Detroit, MI 48224
- ph: (555) 555-3333
US Core Race Extension:
- ombCategory: CDC Race and Ethnicity: 2106-3 (White)
- text: White
Entry 17 - fullUrl = https://gw.interop.community/paciosandbox/open/Organization/org-ED-Metro-Hospital
Resource Organization:
active: true
name: Metro Hospital Emergency Department
Contacts
Telecom Address ph: (555) 384-4444 22327 Moross Rd, Detroit, MI 48236
Entry 18 - fullUrl = https://gw.interop.community/paciosandbox/open/Location/org-Loc-ED-Metro-Hospital
Resource Location:
status: Active
name: Metro Hospital Emergency Department
address: 22327 Moross Rd, Detroit, MI 48236
Entry 19 - fullUrl = https://gw.interop.community/paciosandbox/open/Organization/org-PC-Primary-Care-Michigan
Resource Organization:
active: true
name: Michigan Primary Health Care Associates
Contacts
Telecom Address ph: (616) 555-1212 123 Spruce Dr. Grand Rapids, MI 49503
Entry 20 - fullUrl = https://gw.interop.community/paciosandbox/open/Organization/org-Michigan-Primary-Health-Care-A
Resource Organization:
active: true
name: Michigan Primary Health Care Associates
Contacts
Telecom Address ph: (555) 4813-3311 14820 Gratiot Ave Detroit MI 48205 US
Entry 21 - fullUrl = https://gw.interop.community/paciosandbox/open/Location/org-Loc-Michigan-Primary-Health-Care-A
Resource Location:
status: Active
address: 14820 Gratiot Ave Detroit MI 48205 US
Entry 22 - fullUrl = https://gw.interop.community/paciosandbox/open/PractitionerRole/PractitionerRole-Physician-PriyaSarkar
Resource PractitionerRole:
active: true
practitioner: Priya Sarkar
organization: Metro Hospital Emergency Department
code: Emergency Medicine Physician
Entry 23 - fullUrl = https://gw.interop.community/paciosandbox/open/Practitioner/Practitioner-PriyaSarkar
Resource Practitioner:
version: 4; Last updated: 2024-09-21 14:11:15+0000
identifier: United States National Provider Identifier/4362436261
active: true
name: Priya Sarkar
telecom: ph: (555) 375-3777, psarkar@MetroHospital.com
gender: Female
address: 22327 Moross Rd, Detroit, MI 48236
Entry 24 - fullUrl = https://gw.interop.community/paciosandbox/open/PractitionerRole/Role-IMMD-AnitaChu
Resource PractitionerRole:
active: true
practitioner: Dr. Anita M. Chu
organization: Michigan Primary Health Care Associates
code: Primary care provider (occupation)
specialty: Internal Medicine Physician
location: Location: status = active; telecom = ph: (555) 4813-3311
Entry 25 - fullUrl = https://gw.interop.community/paciosandbox/open/Practitioner/Practitioner-AnitaChu
Resource Practitioner:
version: 4; Last updated: 2024-09-20 19:03:21+0000
identifier: United States National Provider Identifier/2346547898
active: true
name: Anita M. Chu
telecom: ph: (555) 638-1212, achu@MichiganPrimaryCare.com
gender: Female
address: 14820 Gratiot Ave, Detroit, MI 48205