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 - XML Representation

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