smp-medication-action-plan-bundle-example01
type: Bundle
node role: treeRoot
id:
  v: smp-medication-action-plan-bundle-example01
meta:
  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: 20250702142534-Bundle
type:
  v: document
timestamp:
  v: 2025-07-02T14:25:34.001-05:00
link:
  relation:
    v: self
  url:
    v: http://example.org/List/SMP-MedList-Example20250709093051
    l: SMP-MedList-Example20250709093051
entry:
  full url:
    v: http://example.org/Composition/Example-SMP-MAPComposition-01
    l: Example-SMP-MAPComposition-01
  resource: Example-SMP-MAPComposition-01
entry:
  full url:
    v: http://example.org/Patient/examplePatient
    l: examplePatient
  resource: examplePatient
entry:
  full url:
    v: http://example.org/Practitioner/examplePractitioner
    l: examplePractitioner
  resource: examplePractitioner
entry:
  full url:
    v: http://example.org/Practitioner/examplePharmacist
    l: examplePharmacist
  resource: examplePharmacist
entry:
  full url:
    v: http://example.org/CarePlan/example-MAP-Alprazolam-Metoclopramide-01
    l: example-MAP-Alprazolam-Metoclopramide-01
  resource: example-MAP-Alprazolam-Metoclopramide-01
entry:
  full url:
    v: http://example.org/MedicationRequest/example-MedicationRequest-alprazolam-01
    l: example-MedicationRequest-alprazolam-01
  resource: example-MedicationRequest-alprazolam-01
entry:
  full url:
    v: http://example.org/MedicationRequest/example-MedicationRequest-metoclopramide-01
    l: example-MedicationRequest-metoclopramide-01
  resource: example-MedicationRequest-metoclopramide-01
entry:
  full url:
    v: http://example.org/MedicationStatement/example-MedicationStatement-alprazolam-01
    l: example-MedicationStatement-alprazolam-01
  resource: example-MedicationStatement-alprazolam-01
entry:
  full url:
    v: http://example.org/MedicationStatement/example-MedicationStatement-metoclopramide-01
    l: example-MedicationStatement-metoclopramide-01
  resource: example-MedicationStatement-metoclopramide-01
entry:
  full url:
    v: http://example.org/DetectedIssue/example-di01-duplicateTherapy
    l: example-di01-duplicateTherapy
  resource: example-di01-duplicateTherapy
entry:
  full url:
    v: http://example.org/DocumentReference/Example-DocumentReference-PatientSummary20250709093054
    l: Example-DocumentReference-PatientSummary20250709093054
  resource: Example-DocumentReference-PatientSummary20250709093054

Example-SMP-MAPComposition-01
type: Composition
id:
  v: Example-SMP-MAPComposition-01
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 Example-SMP-MAPComposition-01 Language: en-US Profile: SMP Composition Medication Action Plan status: Final type: Pharmacology Plan of care note date: 2025-07-02 author: Practitioner Pharmy Anyperson (official) title: SMP Medication Action Plan for examplePatient Attesters - Mode Party * Professional Practitioner Pharmy Anyperson (official)
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: examplePatient
  reference:
    v: Patient/examplePatient
date:
  v: 2025-07-02
author:
  l: examplePharmacist
  reference:
    v: Practitioner/examplePharmacist
title:
  v: SMP Medication Action Plan for examplePatient
attester:
  mode:
    v: professional
  party:
    l: examplePharmacist
    reference:
      v: Practitioner/examplePharmacist
section:
  title:
    v: Medication Action Plan Care Plan for example Patient
  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: additional
    div:
      v: This section contains the Medication Action Plan Care Plan for example Patient.
  entry:
    l: example-MAP-Alprazolam-Metoclopramide-01
    reference:
      v: CarePlan/example-MAP-Alprazolam-Metoclopramide-01
section:
  title:
    v: Medication Action Plan Care Plan Document for example Patient
  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: additional
    div:
      v: This section contains the Medication Action Plan Care Plan Document for example Patient.
  entry:
    l: Example-DocumentReference-PatientSummary20250709093054
    reference:
      v: DocumentReference/Example-DocumentReference-PatientSummary20250709093054

examplePatient
type: Patient
id:
  v: examplePatient
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient examplePatient John Doe (official) Male, DoB: 1960-01-01 ( http://hospital.example.com/mrn#12345)
identifier:
  system:
    v: http://hospital.example.com/mrn
    l: mrn
  value:
    v: 12345
name:
  use:
    v: official
  family:
    v: Doe
  given:
    v: John
gender:
  v: male
birth date:
  v: 1960-01-01

examplePractitioner
type: Practitioner
id:
  v: examplePractitioner
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
    l: us-core-practitioner
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner examplePractitioner Profile: US Core Practitioner Profile identifier: United States National Provider Identifier/4077310264 name: Jane Smith (Official) Qualifications - Code * Doctor of Medicine
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 4077310264
name:
  use:
    v: official
  family:
    v: Smith
  given:
    v: Jane
qualification:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0360
        l: v2-0360
      code:
        v: MD
      display:
        v: Doctor of Medicine

examplePharmacist
type: Practitioner
id:
  v: examplePharmacist
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
    l: us-core-practitioner
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner examplePharmacist Profile: US Core Practitioner Profile identifier: United States National Provider Identifier/5219705253 name: Pharmy Anyperson (Official) Qualifications - Code * Doctor of Pharmacy
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 5219705253
name:
  use:
    v: official
  family:
    v: Anyperson
  given:
    v: Pharmy
qualification:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0360
        l: v2-0360
      code:
        v: PharmD
      display:
        v: Doctor of Pharmacy

example-MAP-Alprazolam-Metoclopramide-01
type: CarePlan
id:
  v: example-MAP-Alprazolam-Metoclopramide-01
meta:
  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 example-MAP-Alprazolam-Metoclopramide-01 Profile: Standardized Medication Profile - Medication Action Plan status: Draft intent: Plan category: Medication management plan (record artifact) title: Example Med Action Plan (MAP) - Alprazolam and metoclopramide concurrent therapy as detected issue description: Example Med Action Plan (MAP) - Alprazolam and metoclopramide concurrent therapy as DetectedIssue with risk for falls. subject: Betsy Smith-Johnson created: 2025-07-02 author: Practitioner Pharmy Anyperson (official) supportingInfo: DetectedIssue Duplicate Therapy Alert
status:
  v: draft
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: Example Med Action Plan (MAP) - Alprazolam and metoclopramide concurrent therapy as detected issue
description:
  v: Example Med Action Plan (MAP) - Alprazolam and metoclopramide concurrent therapy as DetectedIssue with risk for falls.
subject:
  l: examplePatient
  reference:
    v: Patient/examplePatient
  display:
    v: Betsy Smith-Johnson
created:
  v: 2025-07-02
author:
  l: examplePharmacist
  reference:
    v: Practitioner/examplePharmacist
supporting info:
  l: example-di01-duplicateTherapy
  reference:
    v: DetectedIssue/example-di01-duplicateTherapy

example-MedicationRequest-alprazolam-01
type: MedicationRequest
id:
  v: example-MedicationRequest-alprazolam-01
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest example-MedicationRequest-alprazolam-01 status: Active intent: Order medication: alprazolam 0.5 MG Oral Tablet subject: John Doe (official) Male, DoB: 1960-01-01 ( http://hospital.example.com/mrn#12345) authoredOn: 2025-07-02 requester: Practitioner Jane Smith (official) DosageInstructions - Text * Take as prescribed
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 308048
    display:
      v: alprazolam 0.5 MG Oral Tablet
  text:
    v: alprazolam 0.5 MG Oral Tablet
subject:
  l: examplePatient
  reference:
    v: Patient/examplePatient
authored on:
  v: 2025-07-02
requester:
  l: examplePractitioner
  reference:
    v: Practitioner/examplePractitioner
dosage instruction:
  text:
    v: Take as prescribed

example-MedicationRequest-metoclopramide-01
type: MedicationRequest
id:
  v: example-MedicationRequest-metoclopramide-01
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest example-MedicationRequest-metoclopramide-01 status: Active intent: Order medication: metoclopramide 10 MG Oral Tablet subject: John Doe (official) Male, DoB: 1960-01-01 ( http://hospital.example.com/mrn#12345) authoredOn: 2025-07-02 requester: Practitioner Jane Smith (official) DosageInstructions - Text * Take as prescribed
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 311666
    display:
      v: metoclopramide 10 MG Oral Tablet
  text:
    v: metoclopramide 10 MG Oral Tablet
subject:
  l: examplePatient
  reference:
    v: Patient/examplePatient
authored on:
  v: 2025-07-02
requester:
  l: examplePractitioner
  reference:
    v: Practitioner/examplePractitioner
dosage instruction:
  text:
    v: Take as prescribed

example-MedicationStatement-alprazolam-01
type: MedicationStatement
id:
  v: example-MedicationStatement-alprazolam-01
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement example-MedicationStatement-alprazolam-01 basedOn: MedicationRequest: status = active; intent = order; medication[x] = alprazolam 0.5 MG Oral Tablet; authoredOn = 2025-07-02 status: Active medication: alprazolam 0.5 MG Oral Tablet subject: Example Patient dateAsserted: 2025-07-02 13:00:00-0800 informationSource: Practitioner Jane Smith (official)
based on:
  l: example-MedicationRequest-alprazolam-01
  reference:
    v: MedicationRequest/example-MedicationRequest-alprazolam-01
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 308048
    display:
      v: alprazolam 0.5 MG Oral Tablet
  coding:
    system:
      v: http://hl7.org/fhir/sid/ndc
      l: ndc
    code:
      v: 00378400305
subject:
  l: examplePatient
  reference:
    v: Patient/examplePatient
  display:
    v: Example Patient
date asserted:
  v: 2025-07-02T13:00:00-08:00
information source:
  l: examplePractitioner
  reference:
    v: Practitioner/examplePractitioner

example-MedicationStatement-metoclopramide-01
type: MedicationStatement
id:
  v: example-MedicationStatement-metoclopramide-01
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationStatement example-MedicationStatement-metoclopramide-01 basedOn: MedicationRequest: status = active; intent = order; medication[x] = metoclopramide 10 MG Oral Tablet; authoredOn = 2025-07-02 status: Active medication: metoclopramide 10 MG Oral Tablet subject: Example Patient dateAsserted: 2025-07-02 13:00:00-0800 informationSource: Practitioner Jane Smith (official)
based on:
  l: example-MedicationRequest-metoclopramide-01
  reference:
    v: MedicationRequest/example-MedicationRequest-metoclopramide-01
status:
  v: active
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 311666
    display:
      v: metoclopramide 10 MG Oral Tablet
  coding:
    system:
      v: http://hl7.org/fhir/sid/ndc
      l: ndc
    code:
      v: 00093220301
subject:
  l: examplePatient
  reference:
    v: Patient/examplePatient
  display:
    v: Example Patient
date asserted:
  v: 2025-07-02T13:00:00-08:00
information source:
  l: examplePractitioner
  reference:
    v: Practitioner/examplePractitioner

example-di01-duplicateTherapy
type: DetectedIssue
id:
  v: example-di01-duplicateTherapy
meta:
  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 example-di01-duplicateTherapy Profile: Standardized Medication Profile - Medication Action Plan Detected Issue status: Preliminary code: Duplicate Therapy Alert severity: High patient: John Doe (official) Male, DoB: 1960-01-01 ( http://hospital.example.com/mrn#12345) identified: 2025-07-02 08:00:00+0000 author: Practitioner Pharmy Anyperson (official) implicated: alprazolam 0.5 MG Oral Tablet metoclopromide 10 MG Oral Tablet detail: Taking these medications contribute a risk of anticholinergic side effects that increase risk of cognitive impairment, dementia and falls. Mitigations - Action Date Author * Discontinue noted medications to prevent cognitive worsening, due to duplicative impact with other anticholinergics. 2025-07-02 08:00:00+0000 Practitioner Pharmy Anyperson (official)
status:
  v: preliminary
code:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActCode
      l: v3-ActCode
    code:
      v: DUPTHPY
    display:
      v: Duplicate Therapy Alert
severity:
  v: high
patient:
  l: examplePatient
  reference:
    v: Patient/examplePatient
identified: DateTime
  v: 2025-07-02T08:00:00Z
author:
  l: examplePharmacist
  reference:
    v: Practitioner/examplePharmacist
implicated:
  l: example-MedicationStatement-alprazolam-01
  reference:
    v: MedicationStatement/example-MedicationStatement-alprazolam-01
  display:
    v: alprazolam 0.5 MG Oral Tablet
implicated:
  l: example-MedicationStatement-metoclopramide-01
  reference:
    v: MedicationStatement/example-MedicationStatement-metoclopramide-01
  display:
    v: metoclopromide 10 MG Oral Tablet
detail:
  v: Taking these medications contribute a risk of anticholinergic side effects that increase risk of cognitive impairment, dementia and falls.
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: Discontinue noted medications to prevent cognitive worsening, due to duplicative impact with other anticholinergics.
  date:
    v: 2025-07-02T08:00:00Z
  author:
    l: examplePharmacist
    reference:
      v: Practitioner/examplePharmacist

Example-DocumentReference-PatientSummary20250709093054
type: DocumentReference
id:
  v: Example-DocumentReference-PatientSummary20250709093054
text:
  status:
    v: generated
  div:
    v: Generated Narrative: DocumentReference Example-DocumentReference-PatientSummary20250709093054 status: Current type: Pharmacology Plan of care note subject: John Doe (official) Male, DoB: 1960-01-01 ( http://hospital.example.com/mrn#12345) date: 2025-07-09 09:30:54+0000 content Attachments - ContentType Data Title Creation * application/pdf (base64 data - 441,352 base64 chars) User_SpheregenTest 1 03_Jul_2025_10322264 Default Pharmacy Facility 1.pdf 2025-07-09 09:30:54+0000
status:
  v: current
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: examplePatient
  reference:
    v: Patient/examplePatient
date:
  v: 2025-07-09T09:30:54.6180832Z
content:
  attachment:
    content type:
      v: application/pdf
    title:
      v: User_SpheregenTest 1 03_Jul_2025_10322264 Default Pharmacy Facility 1.pdf
    creation:
      v: 2025-07-09T09:30:54.6179924Z