http://hl7.org/fhir/us/smp/Bundle/ddca07f5-6e40-4c30-952e-23cffd48b045
type: Bundle
node role: treeRoot
meta:
  last updated:
    v: 2026-01-07T10:51:39.872+00:00
  profile:
    v: http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication-action-plan-bundle
    l: smp-medication-action-plan-bundle
identifier:
  system:
    v: http://example.org/exampleSNF/id
    l: id
  value:
    v: 20260107144634-ActualMeds-mltmodified-Bundle
type:
  v: document
timestamp:
  v: 2026-01-07T10:51:40.9490638+00:00
link:
  relation:
    v: self
  url:
    v: https://gw.interop.community/paciosandbox/open/List
    l: List
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/Composition/betsysmith-johnson01-SMP-MAPComposition20260107105207
    l: betsysmith-johnson01-SMP-MAPComposition20260107105207
  resource: betsysmith-johnson01-SMP-MAPComposition20260107105207
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/MedicationStatement/bsj1-smp-medstmt-clopidogrel-1-11
    l: bsj1-smp-medstmt-clopidogrel-1-11
  resource: bsj1-smp-medstmt-clopidogrel-1-11
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/MedicationStatement/bsj1-smp-medstmt-sertraline-1-8
    l: bsj1-smp-medstmt-sertraline-1-8
  resource: bsj1-smp-medstmt-sertraline-1-8
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/MedicationRequest/bsj1-smp-medrx-clopidogrel-1-11
    l: bsj1-smp-medrx-clopidogrel-1-11
  resource: bsj1-smp-medrx-clopidogrel-1-11
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/MedicationRequest/bsj1-smp-medrx-sertraline-1-8
    l: bsj1-smp-medrx-sertraline-1-8
  resource: bsj1-smp-medrx-sertraline-1-8
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/DetectedIssue/betsysmith-johnson01-di01-Drug-druginteraction0
    l: betsysmith-johnson01-di01-Drug-druginteraction0
  resource: betsysmith-johnson01-di01-Drug-druginteraction0
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/CarePlan/betsysmith-johnson01-MAP-Drug-druginteraction0
    l: betsysmith-johnson01-MAP-Drug-druginteraction0
  resource: betsysmith-johnson01-MAP-Drug-druginteraction0
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/MedicationStatement/bsj1-smp-medstmt-jardiance-1-5
    l: bsj1-smp-medstmt-jardiance-1-5
  resource: bsj1-smp-medstmt-jardiance-1-5
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/MedicationStatement/bsj1-smp-medstmt-metformin-0-12
    l: bsj1-smp-medstmt-metformin-0-12
  resource: bsj1-smp-medstmt-metformin-0-12
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/MedicationRequest/bsj1-smp-medrx-jardiance-1-5
    l: bsj1-smp-medrx-jardiance-1-5
  resource: bsj1-smp-medrx-jardiance-1-5
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/MedicationRequest/bsj1-smp-medrx-metformin-0-12
    l: bsj1-smp-medrx-metformin-0-12
  resource: bsj1-smp-medrx-metformin-0-12
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/DetectedIssue/betsysmith-johnson01-di01-Drug-druginteraction1
    l: betsysmith-johnson01-di01-Drug-druginteraction1
  resource: betsysmith-johnson01-di01-Drug-druginteraction1
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/CarePlan/betsysmith-johnson01-MAP-Drug-druginteraction1
    l: betsysmith-johnson01-MAP-Drug-druginteraction1
  resource: betsysmith-johnson01-MAP-Drug-druginteraction1
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/Practitioner/Practitioner-KevinJames
    l: Practitioner-KevinJames
  resource: Practitioner-KevinJames
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/DocumentReference/ActualMeds-DocumentReference-PatientSummary20260107105203
    l: ActualMeds-DocumentReference-PatientSummary20260107105203
  resource: ActualMeds-DocumentReference-PatientSummary20260107105203
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/Patient/patient-betsysmith-johnson01
    l: patient-betsysmith-johnson01
  resource: patient-betsysmith-johnson01
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/Organization/org-ED-Metro-Hospital
    l: org-ED-Metro-Hospital
  resource: org-ED-Metro-Hospital
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/Location/org-Loc-ED-Metro-Hospital
    l: org-Loc-ED-Metro-Hospital
  resource: org-Loc-ED-Metro-Hospital
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/Organization/org-PC-Primary-Care-Michigan
    l: org-PC-Primary-Care-Michigan
  resource: org-PC-Primary-Care-Michigan
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/Organization/org-Michigan-Primary-Health-Care-A
    l: org-Michigan-Primary-Health-Care-A
  resource: org-Michigan-Primary-Health-Care-A
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/Location/org-Loc-Michigan-Primary-Health-Care-A
    l: org-Loc-Michigan-Primary-Health-Care-A
  resource: org-Loc-Michigan-Primary-Health-Care-A
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/PractitionerRole/PractitionerRole-Physician-PriyaSarkar
    l: PractitionerRole-Physician-PriyaSarkar
  resource: PractitionerRole-Physician-PriyaSarkar
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/Practitioner/Practitioner-PriyaSarkar
    l: Practitioner-PriyaSarkar
  resource: Practitioner-PriyaSarkar
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/PractitionerRole/Role-IMMD-AnitaChu
    l: Role-IMMD-AnitaChu
  resource: Role-IMMD-AnitaChu
entry:
  full url:
    v: https://gw.interop.community/paciosandbox/open/Practitioner/Practitioner-AnitaChu
    l: Practitioner-AnitaChu
  resource: Practitioner-AnitaChu

betsysmith-johnson01-SMP-MAPComposition20260107105207
type: Composition
id:
  v: betsysmith-johnson01-SMP-MAPComposition20260107105207
meta:
  profile:
    v: http://hl7.org/fhir/us/smp/StructureDefinition/smp-map-composition
    l: smp-map-composition
language:
  v: en-US
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Composition betsysmith-johnson01-SMP-MAPComposition20260107105207 Language: en-US Profile: SMP Composition Medication Action Plan status: Final type: Pharmacology Plan of care note date: 2026-01-07 author: Practitioner Kevin James title: SMP Medication Action Plan for betsysmith-johnson01 Attesters - Mode Party * Professional Practitioner Kevin James
status:
  v: final
type:
  coding: https://loinc.org/rdf/80797-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 80797-4
    display:
      v: Pharmacology Plan of care note
subject:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
date:
  v: 2026-01-07
author:
  l: Practitioner-KevinJames
  reference:
    v: Practitioner/Practitioner-KevinJames
title:
  v: SMP Medication Action Plan for betsysmith-johnson01
attester:
  mode:
    v: professional
  party:
    l: Practitioner-KevinJames
    reference:
      v: Practitioner/Practitioner-KevinJames
section:
  title:
    v: Medication Action Plan Care Plan for Betsy Smith-Johnson
  code:
    coding: http://snomed.info/id/736378000
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 736378000
      display:
        v: Medication management plan (record artifact)
  text:
    status:
      v: generated
    div:
      v: Generated Narrative: SMP Medication Action Plan for betsysmith-johnson01
  entry:
    l: betsysmith-johnson01-MAP-Drug-druginteraction0
    reference:
      v: CarePlan/betsysmith-johnson01-MAP-Drug-druginteraction0
  entry:
    l: betsysmith-johnson01-MAP-Drug-druginteraction1
    reference:
      v: CarePlan/betsysmith-johnson01-MAP-Drug-druginteraction1
section:
  code:
    coding: https://loinc.org/rdf/80797-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 80797-4
      display:
        v: Pharmacology Plan of care note
  text:
    status:
      v: generated
    div:
      v: Generated Narrative: SMP Medication Action Plan Document Attachment for betsysmith-johnson01
  entry:
    l: ActualMeds-DocumentReference-PatientSummary20260107105203
    reference:
      v: DocumentReference/ActualMeds-DocumentReference-PatientSummary20260107105203

bsj1-smp-medstmt-clopidogrel-1-11
type: MedicationStatement
id:
  v: bsj1-smp-medstmt-clopidogrel-1-11
meta:
  version id:
    v: 22
  last updated:
    v: 2025-07-16T14:58:10+00:00
  source:
    v: #jIPXEslXV66kTpt6
    l: jIPXEslXV66kTpt6
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement bsj1-smp-medstmt-clopidogrel-1-11 version: 22; Last updated: 2025-07-16 14:58:10+0000; Information Source: #jIPXEslXV66kTpt6 basedOn: MedicationRequest: status = active; intent = order; medication[x] = clopidogrel 75 MG Oral Tablet; authoredOn = 2025-05-04 15:00:00-0800 status: Active medication: clopidogrel 75 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2025-05-04 15:00:00-0800 informationSource: Organization Metro Hospital Emergency Department
based on:
  l: bsj1-smp-medrx-clopidogrel-1-11
  reference:
    v: MedicationRequest/bsj1-smp-medrx-clopidogrel-1-11
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 309362
    display:
      v: clopidogrel 75 MG Oral Tablet
  coding:
    system:
      v: http://hl7.org/fhir/sid/ndc
      l: ndc
    code:
      v: 00904629461
subject:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2025-05-04T15:00:00-08:00
information source:
  l: org-ED-Metro-Hospital
  reference:
    v: Organization/org-ED-Metro-Hospital

bsj1-smp-medstmt-sertraline-1-8
type: MedicationStatement
id:
  v: bsj1-smp-medstmt-sertraline-1-8
meta:
  version id:
    v: 22
  last updated:
    v: 2025-07-16T14:58:11+00:00
  source:
    v: #5QRULuxUKVqSCeIU
    l: 5QRULuxUKVqSCeIU
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement bsj1-smp-medstmt-sertraline-1-8 version: 22; Last updated: 2025-07-16 14:58:11+0000; Information Source: #5QRULuxUKVqSCeIU basedOn: MedicationRequest: status = active; intent = order; medication[x] = sertraline 25 MG Oral Tablet; authoredOn = 2025-05-03 14:45:00-0800 status: Active medication: sertraline 25 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2025-05-03 14:45:00-0800 informationSource: Organization Metro Hospital Emergency Department
based on:
  l: bsj1-smp-medrx-sertraline-1-8
  reference:
    v: MedicationRequest/bsj1-smp-medrx-sertraline-1-8
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 312940
    display:
      v: sertraline 25 MG Oral Tablet
  coding:
    system:
      v: http://hl7.org/fhir/sid/ndc
      l: ndc
    code:
      v: 00440831530
subject:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2025-05-03T14:45:00-08:00
information source:
  l: org-ED-Metro-Hospital
  reference:
    v: Organization/org-ED-Metro-Hospital

bsj1-smp-medrx-clopidogrel-1-11
type: MedicationRequest
id:
  v: bsj1-smp-medrx-clopidogrel-1-11
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest bsj1-smp-medrx-clopidogrel-1-11 status: Active intent: Order medication: clopidogrel 75 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2025-05-04 15:00:00-0800 requester: PractitionerRole Emergency Medicine Physician
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 309362
    display:
      v: clopidogrel 75 MG Oral Tablet
  coding:
    system:
      v: http://hl7.org/fhir/sid/ndc
      l: ndc
    code:
      v: 00904629461
subject:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2025-05-04T15:00:00-08:00
requester:
  l: PractitionerRole-Physician-PriyaSarkar
  reference:
    v: PractitionerRole/PractitionerRole-Physician-PriyaSarkar

bsj1-smp-medrx-sertraline-1-8
type: MedicationRequest
id:
  v: bsj1-smp-medrx-sertraline-1-8
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest bsj1-smp-medrx-sertraline-1-8 status: Active intent: Order medication: sertraline 25 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2025-05-03 14:45:00-0800 requester: PractitionerRole Emergency Medicine Physician
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 312940
    display:
      v: sertraline 25 MG Oral Tablet
  coding:
    system:
      v: http://hl7.org/fhir/sid/ndc
      l: ndc
    code:
      v: 00440831530
subject:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2025-05-03T14:45:00-08:00
requester:
  l: PractitionerRole-Physician-PriyaSarkar
  reference:
    v: PractitionerRole/PractitionerRole-Physician-PriyaSarkar

betsysmith-johnson01-di01-Drug-druginteraction0
type: DetectedIssue
id:
  v: betsysmith-johnson01-di01-Drug-druginteraction0
meta:
  version id:
    v: 1
  last updated:
    v: 2026-01-07T10:51:49.9947894+00:00
  source:
    v: #fIOfmNQFLI3AB7nY
    l: fIOfmNQFLI3AB7nY
  profile:
    v: http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication-action-plan-detected-issue
    l: smp-medication-action-plan-detected-issue
text:
  status:
    v: generated
  div:
    v: Generated Narrative: DetectedIssue betsysmith-johnson01-di01-Drug-druginteraction0 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 patient: Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16) 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
status:
  v: preliminary
code:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActCode
      l: v3-ActCode
    code:
      v: DRG
    display:
      v: Drug Interaction Alert
severity:
  v: high
patient:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
identified: DateTime
  v: 2026-01-07T10:51:49.9953967+00:00
author:
  l: Practitioner-KevinJames
  reference:
    v: Practitioner/Practitioner-KevinJames
implicated:
  l: bsj1-smp-medstmt-clopidogrel-1-11
  reference:
    v: MedicationStatement/bsj1-smp-medstmt-clopidogrel-1-11
  display:
    v: Clopidogrel Bisulfate Oral Tablet 75 MG (Clopidogrel Bisulfate)
implicated:
  l: bsj1-smp-medstmt-sertraline-1-8
  reference:
    v: MedicationStatement/bsj1-smp-medstmt-sertraline-1-8
  display:
    v: Sertraline HCl Oral Tablet 25 MG (Sertraline HCl)
detail:
  v: 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
mitigation:
  action:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActCode
        l: v3-ActCode
      code:
        v: 13
      display:
        v: Stopped Concurrent Therapy
    text:
      v: drug drug interaction, change medicine dose
  date:
    v: 2026-01-07T10:51:49.9959238+00:00
  author:
    l: Practitioner-KevinJames
    reference:
      v: Practitioner/Practitioner-KevinJames

betsysmith-johnson01-MAP-Drug-druginteraction0
type: CarePlan
id:
  v: betsysmith-johnson01-MAP-Drug-druginteraction0
meta:
  version id:
    v: 5
  last updated:
    v: 2026-01-07T10:51:56.4684688+00:00
  source:
    v: #svnLyd8XoofodC2c
    l: svnLyd8XoofodC2c
  profile:
    v: http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication-action-plan
    l: smp-medication-action-plan
text:
  status:
    v: generated
  div:
    v: Generated Narrative: CarePlan betsysmith-johnson01-MAP-Drug-druginteraction0 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 author: Practitioner Kevin James supportingInfo: DetectedIssue Drug Interaction Alert
status:
  v: active
intent:
  v: plan
category:
  coding: http://snomed.info/id/736378000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 736378000
    display:
      v: Medication management plan (record artifact)
title:
  v: Clopidogrel Bisulfate Oral Tablet 75 MG,Sertraline HCl Oral Tablet 25 MG Betsy Smith-Johnson Med Action Plan (MAP)
description:
  v: Change medication dose Betsy Smith-Johnson Med Action Plan (MAP)
subject:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
  display:
    v: Betsy Smith-Johnson
created:
  v: 2026-01-07
author:
  l: Practitioner-KevinJames
  reference:
    v: Practitioner/Practitioner-KevinJames
supporting info:
  l: betsysmith-johnson01-di01-Drug-druginteraction0
  reference:
    v: DetectedIssue/betsysmith-johnson01-di01-Drug-druginteraction0

bsj1-smp-medstmt-jardiance-1-5
type: MedicationStatement
id:
  v: bsj1-smp-medstmt-jardiance-1-5
meta:
  version id:
    v: 22
  last updated:
    v: 2025-07-16T14:58:11+00:00
  source:
    v: #Fr7NNcUhcl0LXUxA
    l: Fr7NNcUhcl0LXUxA
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement bsj1-smp-medstmt-jardiance-1-5 version: 22; Last updated: 2025-07-16 14:58:11+0000; Information Source: #Fr7NNcUhcl0LXUxA basedOn: MedicationRequest: status = draft; intent = order; medication[x] = Jardiance 10 MG Oral Tablet; authoredOn = 2025-05-03 14:45:00-0800 status: Intended medication: Jardiance 10 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2025-05-03 14:45:00-0800 informationSource: Organization Metro Hospital Emergency Department
based on:
  l: bsj1-smp-medrx-jardiance-1-5
  reference:
    v: MedicationRequest/bsj1-smp-medrx-jardiance-1-5
status:
  v: intended
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 1545664
    display:
      v: Jardiance 10 MG Oral Tablet
  coding:
    system:
      v: http://hl7.org/fhir/sid/ndc
      l: ndc
    code:
      v: 55154041108
subject:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2025-05-03T14:45:00-08:00
information source:
  l: org-ED-Metro-Hospital
  reference:
    v: Organization/org-ED-Metro-Hospital

bsj1-smp-medstmt-metformin-0-12
type: MedicationStatement
id:
  v: bsj1-smp-medstmt-metformin-0-12
meta:
  version id:
    v: 22
  last updated:
    v: 2025-07-16T14:57:28+00:00
  source:
    v: #2KCOUzHWQLHmJVPh
    l: 2KCOUzHWQLHmJVPh
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement bsj1-smp-medstmt-metformin-0-12 version: 22; Last updated: 2025-07-16 14:57:28+0000; Information Source: #2KCOUzHWQLHmJVPh basedOn: MedicationRequest: status = active; intent = order; medication[x] = metFORMIN hydrochloride 500 MG Oral Tablet; authoredOn = 2025-04-22 09:30:00-0800 status: Active medication: metFORMIN hydrochloride 500 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2025-04-22 09:30:00-0800 informationSource: Organization Michigan Primary Health Care Associates
based on:
  l: bsj1-smp-medrx-metformin-0-12
  reference:
    v: MedicationRequest/bsj1-smp-medrx-metformin-0-12
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 861007
    display:
      v: metFORMIN hydrochloride 500 MG Oral Tablet
  coding:
    system:
      v: http://hl7.org/fhir/sid/ndc
      l: ndc
    code:
      v: 62756014202
subject:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
  display:
    v: Betsy Smith-Johnson
date asserted:
  v: 2025-04-22T09:30:00-08:00
information source:
  l: org-Michigan-Primary-Health-Care-A
  reference:
    v: Organization/org-Michigan-Primary-Health-Care-A

bsj1-smp-medrx-jardiance-1-5
type: MedicationRequest
id:
  v: bsj1-smp-medrx-jardiance-1-5
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest bsj1-smp-medrx-jardiance-1-5 status: Draft intent: Order medication: Jardiance 10 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2025-05-03 14:45:00-0800 requester: PractitionerRole Emergency Medicine Physician
status:
  v: draft
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 1545664
    display:
      v: Jardiance 10 MG Oral Tablet
  coding:
    system:
      v: http://hl7.org/fhir/sid/ndc
      l: ndc
    code:
      v: 55154041108
subject:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2025-05-03T14:45:00-08:00
requester:
  l: PractitionerRole-Physician-PriyaSarkar
  reference:
    v: PractitionerRole/PractitionerRole-Physician-PriyaSarkar

bsj1-smp-medrx-metformin-0-12
type: MedicationRequest
id:
  v: bsj1-smp-medrx-metformin-0-12
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest bsj1-smp-medrx-metformin-0-12 status: Active intent: Order medication: metFORMIN hydrochloride 500 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2025-04-22 09:30:00-0800 requester: PractitionerRole Primary care provider (occupation)
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 861007
    display:
      v: metFORMIN hydrochloride 500 MG Oral Tablet
  coding:
    system:
      v: http://hl7.org/fhir/sid/ndc
      l: ndc
    code:
      v: 62756014202
subject:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
  display:
    v: Betsy Smith-Johnson
authored on:
  v: 2025-04-22T09:30:00-08:00
requester:
  l: Role-IMMD-AnitaChu
  reference:
    v: PractitionerRole/Role-IMMD-AnitaChu

betsysmith-johnson01-di01-Drug-druginteraction1
type: DetectedIssue
id:
  v: betsysmith-johnson01-di01-Drug-druginteraction1
meta:
  version id:
    v: 1
  last updated:
    v: 2026-01-07T10:51:56.7250436+00:00
  source:
    v: #fIOfmNQFLI3AB7nY
    l: fIOfmNQFLI3AB7nY
  profile:
    v: http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication-action-plan-detected-issue
    l: smp-medication-action-plan-detected-issue
text:
  status:
    v: generated
  div:
    v: Generated Narrative: DetectedIssue betsysmith-johnson01-di01-Drug-druginteraction1 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 patient: Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16) 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
status:
  v: preliminary
code:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActCode
      l: v3-ActCode
    code:
      v: DRG
    display:
      v: Drug Interaction Alert
severity:
  v: high
patient:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
identified: DateTime
  v: 2026-01-07T10:51:56.7250479+00:00
author:
  l: Practitioner-KevinJames
  reference:
    v: Practitioner/Practitioner-KevinJames
implicated:
  l: bsj1-smp-medstmt-jardiance-1-5
  reference:
    v: MedicationStatement/bsj1-smp-medstmt-jardiance-1-5
  display:
    v: Jardiance Oral Tablet 10 MG (Empagliflozin)
implicated:
  l: bsj1-smp-medstmt-metformin-0-12
  reference:
    v: MedicationStatement/bsj1-smp-medstmt-metformin-0-12
  display:
    v: metFORMIN HCl Oral Tablet 500 MG (Metformin HCl)
implicated:
  l: bsj1-smp-medstmt-sertraline-1-8
  reference:
    v: MedicationStatement/bsj1-smp-medstmt-sertraline-1-8
  display:
    v: Sertraline HCl Oral Tablet 25 MG (Sertraline HCl)
detail:
  v: 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)
mitigation:
  action:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActCode
        l: v3-ActCode
      code:
        v: 13
      display:
        v: Stopped Concurrent Therapy
    text:
      v: drug drug interaction, change medicine dose
  date:
    v: 2026-01-07T10:51:56.72505+00:00
  author:
    l: Practitioner-KevinJames
    reference:
      v: Practitioner/Practitioner-KevinJames

betsysmith-johnson01-MAP-Drug-druginteraction1
type: CarePlan
id:
  v: betsysmith-johnson01-MAP-Drug-druginteraction1
meta:
  version id:
    v: 5
  last updated:
    v: 2026-01-07T10:52:00.0725571+00:00
  source:
    v: #svnLyd8XoofodC2c
    l: svnLyd8XoofodC2c
  profile:
    v: http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication-action-plan
    l: smp-medication-action-plan
text:
  status:
    v: generated
  div:
    v: Generated Narrative: CarePlan betsysmith-johnson01-MAP-Drug-druginteraction1 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 author: Practitioner Kevin James supportingInfo: DetectedIssue Drug Interaction Alert
status:
  v: active
intent:
  v: plan
category:
  coding: http://snomed.info/id/736378000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 736378000
    display:
      v: Medication management plan (record artifact)
title:
  v: 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:
  v: Change medication dose Betsy Smith-Johnson Med Action Plan (MAP)
subject:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
  display:
    v: Betsy Smith-Johnson
created:
  v: 2026-01-07
author:
  l: Practitioner-KevinJames
  reference:
    v: Practitioner/Practitioner-KevinJames
supporting info:
  l: betsysmith-johnson01-di01-Drug-druginteraction1
  reference:
    v: DetectedIssue/betsysmith-johnson01-di01-Drug-druginteraction1

Practitioner-KevinJames
type: Practitioner
id:
  v: Practitioner-KevinJames
meta:
  version id:
    v: 1
  last updated:
    v: 2025-07-15T13:17:30+00:00
  source:
    v: #GwLEnFTWbl2jKe7j
    l: GwLEnFTWbl2jKe7j
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Practitioner-KevinJames version: 1; Last updated: 2025-07-15 13:17:30+0000; Information Source: #GwLEnFTWbl2jKe7j identifier: http://example.org/fhir/MI-state-license/4804289999 active: true name: Kevin James telecom: ph: (800) 555-9999, kjames@acmessential.com address: 1111 Northwest Street Detroit MI 48214 US gender: Male
identifier:
  system:
    v: http://example.org/fhir/MI-state-license
    l: MI-state-license
  value:
    v: 4804289999
active:
  v: true
name:
  text:
    v: Kevin James
  family:
    v: James
  given:
    v: Kevin
telecom:
  system:
    v: phone
  value:
    v: (800) 555-9999
telecom:
  system:
    v: email
address:
  line:
    v: 1111 Northwest Street
  city:
    v: Detroit
  state:
    v: MI
  postal code:
    v: 48214
  country:
    v: US
gender:
  v: male

ActualMeds-DocumentReference-PatientSummary20260107105203
type: DocumentReference
id:
  v: ActualMeds-DocumentReference-PatientSummary20260107105203
text:
  status:
    v: generated
  div:
    v: Generated Narrative: DocumentReference ActualMeds-DocumentReference-PatientSummary20260107105203 status: Current type: Community health care Discharge summary subject: Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16) 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
status:
  v: current
type:
  coding: https://loinc.org/rdf/100721-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 100721-0
    display:
      v: Community health care Discharge summary
subject:
  l: patient-betsysmith-johnson01
  reference:
    v: Patient/patient-betsysmith-johnson01
date:
  v: 2026-01-07T10:52:03.5343356Z
content:
  attachment:
    content type:
      v: application/pdf
    title:
      v: Medication Reconciliation Encounter Summary20251230014702
    creation:
      v: 2026-01-07T10:52:03.5341497Z

patient-betsysmith-johnson01
type: Patient
id:
  v: patient-betsysmith-johnson01
meta:
  version id:
    v: 55
  last updated:
    v: 2025-08-08T03:25:47+00:00
  source:
    v: #ixWqADpKeNSJ5wQK
    l: ixWqADpKeNSJ5wQK
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
    l: us-core-patient
language:
  v: en-US
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient patient-betsysmith-johnson01 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 <td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - White.">US Core Race Extension: ombCategory: CDC Race and Ethnicity: 2106-3 (White) text: White
extension:
  extension:
    url:
      v: ombCategory
      l: ombCategory
    value: Coding
      system:
        v: urn:oid:2.16.840.1.113883.6.238
        l: 2.16.840.1.113883.6.238
      code:
        v: 2106-3
      display:
        v: White
  extension:
    url:
      v: text
      l: text
    value: String
      v: White
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
    l: us-core-race
identifier:
  use:
    v: usual
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
      display:
        v: Medical Record Number
    text:
      v: Medical Record Number
  system:
    v: http://hospital.smarthealthit.org
    l: hospital.smarthealthit.org
  value:
    v: 1032702
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-medicare
    l: us-medicare
  value:
    v: 1PA3D58WH16
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-ssn
    l: us-ssn
  value:
    v: SS
active:
  v: true
name:
  use:
    v: usual
  text:
    v: Smith-Johnson, Betsy
  family:
    v: Smith-Johnson
  given:
    v: Betsy
telecom:
  system:
    v: phone
  value:
    v: 555-555-1111
  use:
    v: mobile
telecom:
  system:
    v: email
  use:
    v: mobile
gender:
  v: female
birth date:
  v: 1950-11-15
address:
  text:
    v: 17040 E Warren Avenue, Detroit, MI 48224
  line:
    v: 17040 E Warren Avenue
  city:
    v: Detroit
  state:
    v: MI
  postal code:
    v: 48224
  country:
    v: US
  period:
    start:
      v: 2016-12-06
marital status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
      l: v3-NullFlavor
    code:
      v: UNK
contact:
  relationship:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
        l: v3-RoleCode
      code:
        v: SONC
  name:
    text:
      v: Charles Johnson
  telecom:
    system:
      v: phone
    value:
      v: (555) 555-2222
  address:
    text:
      v: 17040 E Warren Avenue, Detroit, MI 48224
contact:
  relationship:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
        l: v3-RoleCode
      code:
        v: DAUINLAW
  name:
    text:
      v: Lisa Johnson
  telecom:
    system:
      v: phone
    value:
      v: (555) 555-3333
  address:
    text:
      v: 17040 E Warren Avenue, Detroit, MI 48224
communication:
  language:
    coding:
      system:
        v: urn:ietf:bcp:47
        l: 47
      code:
        v: en
      display:
        v: English
  preferred:
    v: true

org-ED-Metro-Hospital
type: Organization
id:
  v: org-ED-Metro-Hospital
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization org-ED-Metro-Hospital active: true name: Metro Hospital Emergency Department telecom: ph: (555) 384-4444 address: 22327 Moross Rd, Detroit, MI 48236
active:
  v: true
name:
  v: Metro Hospital Emergency Department
telecom:
  system:
    v: phone
  value:
    v: (555) 384-4444
address:
  text:
    v: 22327 Moross Rd, Detroit, MI 48236
  line:
    v: 22327 Moross Rd, Detroit, MI 48236
  city:
    v: Detroit
  state:
    v: MI
  postal code:
    v: 48236
  country:
    v: US

org-Loc-ED-Metro-Hospital
type: Location
id:
  v: org-Loc-ED-Metro-Hospital
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Location org-Loc-ED-Metro-Hospital status: Active name: Metro Hospital Emergency Department telecom: ph: (555) 384-4444 address: 22327 Moross Rd, Detroit, MI 48236
status:
  v: active
name:
  v: Metro Hospital Emergency Department
telecom:
  system:
    v: phone
  value:
    v: (555) 384-4444
address:
  text:
    v: 22327 Moross Rd, Detroit, MI 48236
  line:
    v: 22327 Moross Rd, Detroit, MI 48236
  city:
    v: Detroit
  state:
    v: MI
  postal code:
    v: 48236
  country:
    v: US

org-PC-Primary-Care-Michigan
type: Organization
id:
  v: org-PC-Primary-Care-Michigan
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization org-PC-Primary-Care-Michigan active: true name: Michigan Primary Health Care Associates telecom: ph: (616) 555-1212 address: 123 Spruce Dr. Grand Rapids, MI 49503
active:
  v: true
name:
  v: Michigan Primary Health Care Associates
telecom:
  system:
    v: phone
  value:
    v: (616) 555-1212
address:
  text:
    v: 123 Spruce Dr. Grand Rapids, MI 49503
  line:
    v: 123 Spruce Dr
  city:
    v: Grand Rapids
  state:
    v: MI
  postal code:
    v: 49503
  country:
    v: US

org-Michigan-Primary-Health-Care-A
type: Organization
id:
  v: org-Michigan-Primary-Health-Care-A
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization org-Michigan-Primary-Health-Care-A active: true name: Michigan Primary Health Care Associates telecom: ph: (555) 4813-3311 address: 14820 Gratiot Ave Detroit MI 48205 US
active:
  v: true
name:
  v: Michigan Primary Health Care Associates
telecom:
  system:
    v: phone
  value:
    v: (555) 4813-3311
address:
  line:
    v: 14820 Gratiot Ave
  city:
    v: Detroit
  state:
    v: MI
  postal code:
    v: 48205
  country:
    v: US

org-Loc-Michigan-Primary-Health-Care-A
type: Location
id:
  v: org-Loc-Michigan-Primary-Health-Care-A
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Location org-Loc-Michigan-Primary-Health-Care-A status: Active telecom: ph: (555) 4813-3311 address: 14820 Gratiot Ave Detroit MI 48205 US
status:
  v: active
telecom:
  system:
    v: phone
  value:
    v: (555) 4813-3311
address:
  line:
    v: 14820 Gratiot Ave
  city:
    v: Detroit
  state:
    v: MI
  postal code:
    v: 48205
  country:
    v: US

PractitionerRole-Physician-PriyaSarkar
type: PractitionerRole
id:
  v: PractitionerRole-Physician-PriyaSarkar
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole PractitionerRole-Physician-PriyaSarkar active: true practitioner: Priya Sarkar organization: Metro Hospital Emergency Department code: Emergency Medicine Physician location: Location Metro Hospital Emergency Department
active:
  v: true
practitioner:
  l: Practitioner-PriyaSarkar
  reference:
    v: Practitioner/Practitioner-PriyaSarkar
  display:
    v: Priya Sarkar
organization:
  l: org-ED-Metro-Hospital
  reference:
    v: Organization/org-ED-Metro-Hospital
  display:
    v: Metro Hospital Emergency Department
code:
  coding:
    system:
      v: http://nucc.org/provider-taxonomy
      l: provider-taxonomy
    code:
      v: 207P00000X
    display:
      v: Emergency Medicine Physician
location:
  l: org-Loc-ED-Metro-Hospital
  reference:
    v: Location/org-Loc-ED-Metro-Hospital

Practitioner-PriyaSarkar
type: Practitioner
id:
  v: Practitioner-PriyaSarkar
meta:
  version id:
    v: 4
  last updated:
    v: 2024-09-21T14:11:15.000+00:00
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Practitioner-PriyaSarkar 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 address: 22327 Moross Rd, Detroit, MI 48236 gender: Female
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 4362436261
active:
  v: true
name:
  text:
    v: Priya Sarkar
  family:
    v: Sarkar
  given:
    v: Priya
telecom:
  system:
    v: phone
  value:
    v: (555) 375-3777
telecom:
  system:
    v: email
address:
  text:
    v: 22327 Moross Rd, Detroit, MI 48236
  line:
    v: 22327 Moross Rd
  city:
    v: Detroit
  state:
    v: MI
  postal code:
    v: 48236
  country:
    v: US
gender:
  v: female

Role-IMMD-AnitaChu
type: PractitionerRole
id:
  v: Role-IMMD-AnitaChu
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole Role-IMMD-AnitaChu 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
active:
  v: true
practitioner:
  l: Practitioner-AnitaChu
  reference:
    v: Practitioner/Practitioner-AnitaChu
  display:
    v: Dr. Anita M. Chu
organization:
  l: org-PC-Primary-Care-Michigan
  reference:
    v: Organization/org-PC-Primary-Care-Michigan
  display:
    v: Michigan Primary Health Care Associates
code:
  coding: http://snomed.info/id/453231000124104
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 453231000124104
    display:
      v: Primary care provider (occupation)
specialty:
  coding:
    system:
      v: http://nucc.org/provider-taxonomy
      l: provider-taxonomy
    code:
      v: 207R00000X
    display:
      v: Internal Medicine Physician
location:
  l: org-Loc-Michigan-Primary-Health-Care-A
  reference:
    v: Location/org-Loc-Michigan-Primary-Health-Care-A

Practitioner-AnitaChu
type: Practitioner
id:
  v: Practitioner-AnitaChu
meta:
  version id:
    v: 4
  last updated:
    v: 2024-09-20T19:03:21.000+00:00
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner Practitioner-AnitaChu 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 address: 14820 Gratiot Ave, Detroit, MI 48205 gender: Female
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 2346547898
active:
  v: true
name:
  text:
    v: Anita M. Chu
  family:
    v: Chu
  given:
    v: Anita
  given:
    v: Marie
telecom:
  system:
    v: phone
  value:
    v: (555) 638-1212
telecom:
  system:
    v: email
address:
  text:
    v: 14820 Gratiot Ave, Detroit, MI 48205
  line:
    v: 14820 Gratiot Ave
  city:
    v: Detroit
  state:
    v: MI
  postal code:
    v: 48205
  country:
    v: US
gender:
  v: female