Publish-box (todo)
Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Group, Patient, Practitioner |
Raw Turtle (+ also see Turtle/RDF Format Specification)
Drug-drug interaction between prescription and medication statement
@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 ------------------------------------------------------------------- <http://hl7.org/fhir/DetectedIssue/ddi> a fhir:DetectedIssue ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "ddi"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p><b>Severity: High</b> - Risk of internal bleeding</p>\n <p>Those who take acetaminophen along with the widely used blood-thinning drug warfarin may face the risk of serious internal bleeding. People on warfarin who take acetaminophen for at least seven days in a row should be closely watched for bleeding.</p>\n <ul>\n <li><a href=\"MedicationStatement/tylenol\">500 mg Acetaminophen tablet 1/day, PRN since 2010</a></li>\n <li><a href=\"MedicationRequest/warfarin\">Warfarin 1 MG TAB prescribed Jan. 5, 2014</a></li>\n </ul>\n <p>Mitigation: Jan 5, 2014 by Dr. Adam Careful: </p>\n <p>Asked patient to discontinue regular use of Tylenol and to consult with clinician if they need to resume to allow appropriate INR monitoring</p>\n </div>"^^rdf:XMLLiteral ] ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ; fhir:code [ fhir:v "DRG" ] ; fhir:display [ fhir:v "Drug Interaction Alert" ] ] ) ] ) ; # fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ; fhir:code [ fhir:v "DRG" ] ; fhir:display [ fhir:v "Drug Interaction Alert" ] ] ) ] ; # fhir:severity [ fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/detectedissue-severity"^^xsd:anyURI ] ; fhir:code [ fhir:v "high" ] ; fhir:display [ fhir:v "High" ] ] ) ] ; # fhir:subject [ fhir:link <http://hl7.org/fhir/Device/example> ; fhir:reference [ fhir:v "Device/example" ] ] ; # fhir:identified [ a fhir:dateTime ; fhir:v "2014-01-05"^^xsd:date ] ; # fhir:implicated ( [ fhir:link <http://hl7.org/fhir/MedicationStatement/example001> ; fhir:reference [ fhir:v "MedicationStatement/example001" ] ; fhir:display [ fhir:v "500 mg Acetaminophen tablet 1/day, PRN since 2010" ] ] [ fhir:link <http://hl7.org/fhir/MedicationRequest/medrx0331> ; fhir:reference [ fhir:v "MedicationRequest/medrx0331" ] ; fhir:display [ fhir:v "Warfarin 1 MG TAB prescribed Jan. 15, 2015" ] ] ) ; # fhir:detail [ fhir:v "Risk of internal bleeding. Those who take acetaminophen along with the widely used blood-thinning drug warfarin may face the risk of serious internal bleeding. People on warfarin who take acetaminophen for at least seven days in a row should be closely watched for bleeding."] ; # fhir:mitigation ( [ fhir:action [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ; fhir:code [ fhir:v "13" ] ; fhir:display [ fhir:v "Stopped Concurrent Therapy" ] ] ) ; fhir:text [ fhir:v "Asked patient to discontinue regular use of Tylenol and to consult with clinician if they need to resume to allow appropriate INR monitoring" ] ] ; fhir:date [ fhir:v "2014-01-05"^^xsd:date ] ; fhir:author [ fhir:link <http://hl7.org/fhir/Practitioner/example> ; fhir:reference [ fhir:v "Practitioner/example" ] ; fhir:display [ fhir:v "Dr. Adam Careful" ] ] ] ) . # <http://hl7.org/fhir/Device/example> a fhir:Device . <http://hl7.org/fhir/MedicationStatement/example001> a fhir:MedicationStatement . <http://hl7.org/fhir/MedicationRequest/medrx0331> a fhir:MedicationRequest . <http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner . # -------------------------------------------------------------------------------------
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
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