Standardized Medication Profile (SMP) FHIR IG
1.0.0 - STU 1 United States of America flag

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

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/DetectedIssue/example-di01-duplicateTherapy> a fhir:DetectedIssue ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "example-di01-duplicateTherapy"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication-action-plan-detected-issue" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication-action-plan-detected-issue>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:DetectedIssue.status [ fhir:value "preliminary"] ;
  fhir:DetectedIssue.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
       fhir:Coding.code [ fhir:value "DUPTHPY" ] ;
       fhir:Coding.display [ fhir:value "Duplicate Therapy Alert" ]
     ]
  ] ;
  fhir:DetectedIssue.severity [ fhir:value "high"] ;
  fhir:DetectedIssue.patient [
     fhir:link <http://hl7.org/fhir/Patient/examplePatient> ;
     fhir:Reference.reference [ fhir:value "Patient/examplePatient" ]
  ] ;
  fhir:DetectedIssue.identifiedDateTime [ fhir:value "2025-07-02T08:00:00Z"^^xsd:dateTime] ;
  fhir:DetectedIssue.author [
     fhir:link <http://hl7.org/fhir/Practitioner/examplePharmacist> ;
     fhir:Reference.reference [ fhir:value "Practitioner/examplePharmacist" ]
  ] ;
  fhir:DetectedIssue.implicated [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/MedicationStatement/example-MedicationStatement-alprazolam-01> ;
     fhir:Reference.reference [ fhir:value "MedicationStatement/example-MedicationStatement-alprazolam-01" ] ;
     fhir:Reference.display [ fhir:value "alprazolam 0.5 MG Oral Tablet" ]
  ], [
     fhir:index 1 ;
     fhir:link <http://hl7.org/fhir/MedicationStatement/example-MedicationStatement-metoclopramide-01> ;
     fhir:Reference.reference [ fhir:value "MedicationStatement/example-MedicationStatement-metoclopramide-01" ] ;
     fhir:Reference.display [ fhir:value "metoclopromide 10 MG Oral Tablet" ]
  ] ;
  fhir:DetectedIssue.detail [ fhir:value "Taking these medications contribute a risk of anticholinergic side effects that increase risk of cognitive impairment, dementia and falls."] ;
  fhir:DetectedIssue.mitigation [
     fhir:index 0 ;
     fhir:DetectedIssue.mitigation.action [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
         fhir:Coding.code [ fhir:value "13" ] ;
         fhir:Coding.display [ fhir:value "Stopped Concurrent Therapy" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Discontinue noted medications to prevent cognitive worsening, due to duplicative impact with other anticholinergics." ]
     ] ;
     fhir:DetectedIssue.mitigation.date [ fhir:value "2025-07-02T08:00:00Z"^^xsd:dateTime ] ;
     fhir:DetectedIssue.mitigation.author [
       fhir:link <http://hl7.org/fhir/Practitioner/examplePharmacist> ;
       fhir:Reference.reference [ fhir:value "Practitioner/examplePharmacist" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/examplePatient> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/examplePharmacist> a fhir:Practitioner .

<http://hl7.org/fhir/MedicationStatement/example-MedicationStatement-alprazolam-01> a fhir:MedicationStatement .

<http://hl7.org/fhir/MedicationStatement/example-MedicationStatement-metoclopramide-01> a fhir:MedicationStatement .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/DetectedIssue/example-di01-duplicateTherapy.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/DetectedIssue/example-di01-duplicateTherapy.ttl> .