Generated Narrative: Composition betsysmith-johnson01-SMP-MAPComposition20260107105207 Language: en-US Profile: SMP Composition Medication Action Plan status: Final type: Pharmacology Plan of care note date: 2026-01-07 author: Practitioner Kevin James title: SMP Medication Action Plan for betsysmith-johnson01 Attesters - Mode Party * Professional Practitioner Kevin James
SMP Medication Action Plan for betsysmith-johnson01
Medication Action Plan Care Plan for Betsy Smith-Johnson
Medication management plan (record artifact)
Generated Narrative: SMP Medication Action Plan for betsysmith-johnson01
Generated Narrative: SMP Medication Action Plan Document Attachment for betsysmith-johnson01
Generated Narrative: MedicationStatement bsj1-smp-medstmt-clopidogrel-1-11 version: 22; Last updated: 2025-07-16 14:58:10+0000; Information Source: #jIPXEslXV66kTpt6 basedOn: MedicationRequest: status = active; intent = order; medication[x] = clopidogrel 75 MG Oral Tablet; authoredOn = 2025-05-04 15:00:00-0800 status: Active medication: clopidogrel 75 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2025-05-04 15:00:00-0800 informationSource: Organization Metro Hospital Emergency Department
Generated Narrative: MedicationStatement bsj1-smp-medstmt-sertraline-1-8 version: 22; Last updated: 2025-07-16 14:58:11+0000; Information Source: #5QRULuxUKVqSCeIU basedOn: MedicationRequest: status = active; intent = order; medication[x] = sertraline 25 MG Oral Tablet; authoredOn = 2025-05-03 14:45:00-0800 status: Active medication: sertraline 25 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2025-05-03 14:45:00-0800 informationSource: Organization Metro Hospital Emergency Department
Generated Narrative: MedicationRequest bsj1-smp-medrx-clopidogrel-1-11 status: Active intent: Order medication: clopidogrel 75 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2025-05-04 15:00:00-0800 requester: PractitionerRole Emergency Medicine Physician
Generated Narrative: MedicationRequest bsj1-smp-medrx-sertraline-1-8 status: Active intent: Order medication: sertraline 25 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2025-05-03 14:45:00-0800 requester: PractitionerRole Emergency Medicine Physician
Generated Narrative: DetectedIssue betsysmith-johnson01-di01-Drug-druginteraction0 version: 1; Last updated: 2026-01-07 10:51:49+0000; Information Source: #fIOfmNQFLI3AB7nY Profile: Standardized Medication Profile - Medication Action Plan Detected Issue status: Preliminary code: Drug Interaction Alert severity: High patient: Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#MedicareHIC#1PA3D58WH16) identified: 2026-01-07 10:51:49+0000 author: Practitioner Kevin James implicated: Clopidogrel Bisulfate Oral Tablet 75 MG (Clopidogrel Bisulfate) Sertraline HCl Oral Tablet 25 MG (Sertraline HCl) detail: Selective serotonin reuptake inhibitors (eg, Sertraline HCl Oral Tablet 25 MG) may enhance the antiplatelet effect and increase the bleeding risk of purinergic signaling receptor Y12 (P2Y12) inhibitors such as Clopidogrel Bisulfate Oral Tablet 75 MG Mitigations - Action Date Author * drug drug interaction, change medicine dose 2026-01-07 10:51:49+0000 Practitioner Kevin James
Clopidogrel Bisulfate Oral Tablet 75 MG (Clopidogrel Bisulfate)
Sertraline HCl Oral Tablet 25 MG (Sertraline HCl)
Selective serotonin reuptake inhibitors (eg, Sertraline HCl Oral Tablet 25 MG) may enhance the antiplatelet effect and increase the bleeding risk of purinergic signaling receptor Y12 (P2Y12) inhibitors such as Clopidogrel Bisulfate Oral Tablet 75 MG
drug drug interaction, change medicine dose
Generated Narrative: CarePlan betsysmith-johnson01-MAP-Drug-druginteraction0 version: 5; Last updated: 2026-01-07 10:51:56+0000; Information Source: #svnLyd8XoofodC2c Profile: Standardized Medication Profile - Medication Action Plan status: Active intent: Plan category: Medication management plan (record artifact) title: Clopidogrel Bisulfate Oral Tablet 75 MG,Sertraline HCl Oral Tablet 25 MG Betsy Smith-Johnson Med Action Plan (MAP) description: Change medication dose Betsy Smith-Johnson Med Action Plan (MAP) subject: Betsy Smith-Johnson created: 2026-01-07 author: Practitioner Kevin James supportingInfo: DetectedIssue Drug Interaction Alert
Clopidogrel Bisulfate Oral Tablet 75 MG,Sertraline HCl Oral Tablet 25 MG Betsy Smith-Johnson Med Action Plan (MAP)
Change medication dose Betsy Smith-Johnson Med Action Plan (MAP)
Generated Narrative: MedicationStatement bsj1-smp-medstmt-jardiance-1-5 version: 22; Last updated: 2025-07-16 14:58:11+0000; Information Source: #Fr7NNcUhcl0LXUxA basedOn: MedicationRequest: status = draft; intent = order; medication[x] = Jardiance 10 MG Oral Tablet; authoredOn = 2025-05-03 14:45:00-0800 status: Intended medication: Jardiance 10 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2025-05-03 14:45:00-0800 informationSource: Organization Metro Hospital Emergency Department
Generated Narrative: MedicationStatement bsj1-smp-medstmt-metformin-0-12 version: 22; Last updated: 2025-07-16 14:57:28+0000; Information Source: #2KCOUzHWQLHmJVPh basedOn: MedicationRequest: status = active; intent = order; medication[x] = metFORMIN hydrochloride 500 MG Oral Tablet; authoredOn = 2025-04-22 09:30:00-0800 status: Active medication: metFORMIN hydrochloride 500 MG Oral Tablet subject: Betsy Smith-Johnson dateAsserted: 2025-04-22 09:30:00-0800 informationSource: Organization Michigan Primary Health Care Associates
metFORMIN hydrochloride 500 MG Oral Tablet
Generated Narrative: MedicationRequest bsj1-smp-medrx-jardiance-1-5 status: Draft intent: Order medication: Jardiance 10 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2025-05-03 14:45:00-0800 requester: PractitionerRole Emergency Medicine Physician
Generated Narrative: MedicationRequest bsj1-smp-medrx-metformin-0-12 status: Active intent: Order medication: metFORMIN hydrochloride 500 MG Oral Tablet subject: Betsy Smith-Johnson authoredOn: 2025-04-22 09:30:00-0800 requester: PractitionerRole Primary care provider (occupation)
Generated Narrative: DetectedIssue betsysmith-johnson01-di01-Drug-druginteraction1 version: 1; Last updated: 2026-01-07 10:51:56+0000; Information Source: #fIOfmNQFLI3AB7nY Profile: Standardized Medication Profile - Medication Action Plan Detected Issue status: Preliminary code: Drug Interaction Alert severity: High patient: Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#MedicareHIC#1PA3D58WH16) identified: 2026-01-07 10:51:56+0000 author: Practitioner Kevin James implicated: Jardiance Oral Tablet 10 MG (Empagliflozin) metFORMIN HCl Oral Tablet 500 MG (Metformin HCl) Sertraline HCl Oral Tablet 25 MG (Sertraline HCl) detail: Selective Serotonin Reuptake Inhibitors (eg, Sertraline HCl Oral Tablet 25 MG) may enhance the hypoglycemic effect of Agents with Blood Glucose Lowering Effects (eg, Jardiance Oral Tablet 10 MG and metFORMIN HCl Oral Tablet 500 MG) Mitigations - Action Date Author * drug drug interaction, change medicine dose 2026-01-07 10:51:56+0000 Practitioner Kevin James
Jardiance Oral Tablet 10 MG (Empagliflozin)
metFORMIN HCl Oral Tablet 500 MG (Metformin HCl)
Selective Serotonin Reuptake Inhibitors (eg, Sertraline HCl Oral Tablet 25 MG) may enhance the hypoglycemic effect of Agents with Blood Glucose Lowering Effects (eg, Jardiance Oral Tablet 10 MG and metFORMIN HCl Oral Tablet 500 MG)
Generated Narrative: CarePlan betsysmith-johnson01-MAP-Drug-druginteraction1 version: 5; Last updated: 2026-01-07 10:52:00+0000; Information Source: #svnLyd8XoofodC2c Profile: Standardized Medication Profile - Medication Action Plan status: Active intent: Plan category: Medication management plan (record artifact) title: Jardiance Oral Tablet 10 MG,metFORMIN HCl Oral Tablet 500 MG,Sertraline HCl Oral Tablet 25 MG Betsy Smith-Johnson Med Action Plan (MAP) description: Change medication dose Betsy Smith-Johnson Med Action Plan (MAP) subject: Betsy Smith-Johnson created: 2026-01-07 author: Practitioner Kevin James supportingInfo: DetectedIssue Drug Interaction Alert
Jardiance Oral Tablet 10 MG,metFORMIN HCl Oral Tablet 500 MG,Sertraline HCl Oral Tablet 25 MG Betsy Smith-Johnson Med Action Plan (MAP)
Generated Narrative: Practitioner Practitioner-KevinJames version: 1; Last updated: 2025-07-15 13:17:30+0000; Information Source: #GwLEnFTWbl2jKe7j identifier: http://example.org/fhir/MI-state-license/4804289999 active: true name: Kevin James telecom: ph: (800) 555-9999, kjames@acmessential.com address: 1111 Northwest Street Detroit MI 48214 US gender: Male
Generated Narrative: DocumentReference ActualMeds-DocumentReference-PatientSummary20260107105203 status: Current type: Community health care Discharge summary subject: Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#MedicareHIC#1PA3D58WH16) date: 2026-01-07 10:52:03+0000 content Attachments - ContentType Data Title Creation * application/pdf (base64 data - 553,640 base64 chars) Medication Reconciliation Encounter Summary20251230014702 2026-01-07 10:52:03+0000
Medication Reconciliation Encounter Summary20251230014702
Generated Narrative: Patient patient-betsysmith-johnson01 version: 55; Last updated: 2025-08-08 03:25:47+0000; Language: en-US; Information Source: #ixWqADpKeNSJ5wQK Profile: US Core Patient Profile Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#MedicareHIC#1PA3D58WH16) Active: true Marital Status: unknown Other Ids: Medical Record Number/1032702 (use: usual, ) SSN/SS Contact Detail ph: 555-555-1111(Mobile) mmoen+betsysmithjohnson@mydirectives.com 17040 E Warren Avenue, Detroit, MI 48224 Language: English (preferred) son: Charles Johnson 17040 E Warren Avenue, Detroit, MI 48224 ph: (555) 555-2222 daughter in-law: Lisa Johnson 17040 E Warren Avenue, Detroit, MI 48224 ph: (555) 555-3333 <td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - White.">US Core Race Extension: ombCategory: Race & Ethnicity - CDC: 2106-3 (White) text: White
17040 E Warren Avenue, Detroit, MI 48224
Generated Narrative: Organization org-ED-Metro-Hospital active: true name: Metro Hospital Emergency Department telecom: ph: (555) 384-4444 address: 22327 Moross Rd, Detroit, MI 48236
Generated Narrative: Location org-Loc-ED-Metro-Hospital status: Active name: Metro Hospital Emergency Department telecom: ph: (555) 384-4444 address: 22327 Moross Rd, Detroit, MI 48236
Generated Narrative: Organization org-PC-Primary-Care-Michigan active: true name: Michigan Primary Health Care Associates telecom: ph: (616) 555-1212 address: 123 Spruce Dr. Grand Rapids, MI 49503
Generated Narrative: Organization org-Michigan-Primary-Health-Care-A active: true name: Michigan Primary Health Care Associates telecom: ph: (555) 4813-3311 address: 14820 Gratiot Ave Detroit MI 48205 US
Generated Narrative: Location org-Loc-Michigan-Primary-Health-Care-A status: Active telecom: ph: (555) 4813-3311 address: 14820 Gratiot Ave Detroit MI 48205 US
Generated Narrative: PractitionerRole PractitionerRole-Physician-PriyaSarkar active: true practitioner: Priya Sarkar organization: Metro Hospital Emergency Department code: Emergency Medicine Physician location: Location Metro Hospital Emergency Department
Generated Narrative: Practitioner Practitioner-PriyaSarkar version: 4; Last updated: 2024-09-21 14:11:15+0000 identifier: NPI/4362436261 active: true name: Priya Sarkar telecom: ph: (555) 375-3777, psarkar@MetroHospital.com address: 22327 Moross Rd, Detroit, MI 48236 gender: Female
Generated Narrative: PractitionerRole Role-IMMD-AnitaChu active: true practitioner: Dr. Anita M. Chu organization: Michigan Primary Health Care Associates code: Primary care provider (occupation) specialty: Internal Medicine Physician location: Location: status = active; telecom = ph: (555) 4813-3311
Generated Narrative: Practitioner Practitioner-AnitaChu version: 4; Last updated: 2024-09-20 19:03:21+0000 identifier: NPI/2346547898 active: true name: Anita M. Chu telecom: ph: (555) 638-1212, achu@MichiganPrimaryCare.com address: 14820 Gratiot Ave, Detroit, MI 48205 gender: Female