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
: example-di01-duplicateTherapy - TTL Representation
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:DetectedIssue ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "example-di01-duplicateTherapy"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication-action-plan-detected-issue"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication-action-plan-detected-issue> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
] ; #
fhir:status [ fhir:v "preliminary"] ; #
fhir:code [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode> ] ;
fhir:code [ fhir:v "DUPTHPY" ] ;
fhir:display [ fhir:v "Duplicate Therapy Alert" ] ] )
] ; #
fhir:severity [ fhir:v "high"] ; #
fhir:patient [
fhir:l fhir:Patient/examplePatient ;
fhir:reference [ fhir:v "Patient/examplePatient" ]
] ; #
fhir:identified [
a fhir:DateTime ;
fhir:v "2025-07-02T08:00:00Z"^^xsd:dateTime
] ; #
fhir:author [
fhir:l fhir:Practitioner/examplePharmacist ;
fhir:reference [ fhir:v "Practitioner/examplePharmacist" ]
] ; #
fhir:implicated ( [
fhir:l fhir:MedicationStatement/example-MedicationStatement-alprazolam-01 ;
fhir:reference [ fhir:v "MedicationStatement/example-MedicationStatement-alprazolam-01" ] ;
fhir:display [ fhir:v "alprazolam 0.5 MG Oral Tablet" ]
] [
fhir:l fhir:MedicationStatement/example-MedicationStatement-metoclopramide-01 ;
fhir:reference [ fhir:v "MedicationStatement/example-MedicationStatement-metoclopramide-01" ] ;
fhir:display [ fhir:v "metoclopromide 10 MG Oral Tablet" ]
] ) ; #
fhir:detail [ fhir:v "Taking these medications contribute a risk of anticholinergic side effects that increase risk of cognitive impairment, dementia and falls."] ; #
fhir:mitigation ( [
fhir:action [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode> ] ;
fhir:code [ fhir:v "13" ] ;
fhir:display [ fhir:v "Stopped Concurrent Therapy" ] ] ) ;
fhir:text [ fhir:v "Discontinue noted medications to prevent cognitive worsening, due to duplicative impact with other anticholinergics." ] ] ;
fhir:date [ fhir:v "2025-07-02T08:00:00Z"^^xsd:dateTime ] ;
fhir:author [
fhir:l fhir:Practitioner/examplePharmacist ;
fhir:reference [ fhir:v "Practitioner/examplePharmacist" ] ]
] ) . #
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