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

• Narrative Content
• XML
• JSON
• TTL

: example-di01-duplicateTherapy - JSON Representation

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{
  "resourceType" : "DetectedIssue",
  "id" : "example-di01-duplicateTherapy",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication-action-plan-detected-issue"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DetectedIssue example-di01-duplicateTherapy</b></p><a name=\"example-di01-duplicateTherapy\"> </a><a name=\"hcexample-di01-duplicateTherapy\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-smp-medication-action-plan-detected-issue.html\">Standardized Medication Profile - Medication Action Plan Detected Issue</a></p></div><p><b>status</b>: Preliminary</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode DUPTHPY}\">Duplicate Therapy Alert</span></p><p><b>severity</b>: High</p><p><b>patient</b>: <a href=\"Patient-examplePatient.html\">John Doe (official) Male, DoB: 1960-01-01 ( http://hospital.example.com/mrn#12345)</a></p><p><b>identified</b>: 2025-07-02 08:00:00+0000</p><p><b>author</b>: <a href=\"Practitioner-examplePharmacist.html\">Practitioner Pharmy Anyperson (official)</a></p><p><b>implicated</b>: </p><ul><li><a href=\"MedicationStatement-example-MedicationStatement-alprazolam-01.html\">alprazolam 0.5 MG Oral Tablet</a></li><li><a href=\"MedicationStatement-example-MedicationStatement-metoclopramide-01.html\">metoclopromide 10 MG Oral Tablet</a></li></ul><p><b>detail</b>: Taking these medications contribute a risk of anticholinergic side effects that increase risk of cognitive impairment, dementia and falls.</p><h3>Mitigations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Action</b></td><td><b>Date</b></td><td><b>Author</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode 13}\">Discontinue noted medications to prevent cognitive worsening, due to duplicative impact with other anticholinergics.</span></td><td>2025-07-02 08:00:00+0000</td><td><a href=\"Practitioner-examplePharmacist.html\">Practitioner Pharmy Anyperson (official)</a></td></tr></table></div>"
  },
  "status" : "preliminary",
  "code" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "DUPTHPY",
        "display" : "Duplicate Therapy Alert"
      }
    ]
  },
  "severity" : "high",
  "patient" : {
    🔗 "reference" : "Patient/examplePatient"
  },
  "identifiedDateTime" : "2025-07-02T08:00:00Z",
  "author" : {
    🔗 "reference" : "Practitioner/examplePharmacist"
  },
  "implicated" : [
    {
      🔗 "reference" : "MedicationStatement/example-MedicationStatement-alprazolam-01",
      "display" : "alprazolam 0.5 MG Oral Tablet"
    },
    {
      🔗 "reference" : "MedicationStatement/example-MedicationStatement-metoclopramide-01",
      "display" : "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.",
  "mitigation" : [
    {
      "action" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code" : "13",
            "display" : "Stopped Concurrent Therapy"
          }
        ],
        "text" : "Discontinue noted medications to prevent cognitive worsening, due to duplicative impact with other anticholinergics."
      },
      "date" : "2025-07-02T08:00:00Z",
      "author" : {
        🔗 "reference" : "Practitioner/examplePharmacist"
      }
    }
  ]
}