FHIR © HL7.org  |  Server Home  |  Health Intersections FHIR Server v1.0.296  |  FHIR Version 4.0.1  | User: ANONYMOUS (Unknown)  

History Record

XML or JSON representation

Links: First Previous Next Last  (4 found). Search: http://tx.fhir.org/r4/DetectedIssue/_history?&_prior=2019-11-14T03:40:41.531Z&_format=text/xhtml&history-id=5b0094a0-e1a0-47f2-979a-dbb6a27ac7 

DetectedIssue "lab" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

[Put rendering here]

{
  "resourceType" : "DetectedIssue",
  "id" : "lab",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:26.661Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">[Put rendering here]</div>"
  },
  "status" : "final"
}

DetectedIssue "duplicate" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


{
  "resourceType" : "DetectedIssue",
  "id" : "duplicate",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:26.629Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Similar test was performed within the past 14 days</p>\n <ul>\n <li>\n <a href=\"ServiceRequest/id\">Chest CT - ordered May 8, 2013 by Dr. Adam Careful</a>\n </li>\n <li>\n <a href=\"ImagingStudy/example\">Image 1 from Series 3: CT Images on Patient MINT (MINT1234) taken at 1-Jan 2011 01:20 AM</a>\n </li>\n </ul>\n </div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://example.org",
      "value" : "12345"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "DUPTHPY",
        "display" : "Duplicate Therapy Alert"
      }
    ]
  },
  "patient" : {
    "reference" : "Patient/dicom"
  },
  "identifiedDateTime" : "2013-05-08",
  "author" : {
    "reference" : "Device/software"
  },
  "implicated" : [
    {
      "reference" : "ServiceRequest/di",
      "display" : "Chest CT - ordered May 8, 2013 by Dr. Adam Careful
"
    },
    {
      "reference" : "ImagingStudy/example",
      "display" : "Image 1 from Series 3: CT Images on Patient MINT (MINT1234) taken at 1-Jan 2011 01:20 AM"
    }
  ],
  "detail" : "Similar test was performed within the past 14 days",
  "reference" : "http://www.tmhp.com/RadiologyClinicalDecisionSupport/2011/CHEST%20IMAGING%20GUIDELINES%202011.pdf"
}

DetectedIssue "ddi" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Severity: High - 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.

Mitigation: Jan 5, 2014 by Dr. Adam Careful:

Asked patient to discontinue regular use of Tylenol and to consult with clinician if they need to resume to allow appropriate INR monitoring


{
  "resourceType" : "DetectedIssue",
  "id" : "ddi",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:26.598Z"
  },
  "text" : {
    "status" : "generated",
    "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>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "DRG",
        "display" : "Drug Interaction Alert"
      }
    ]
  },
  "severity" : "high",
  "identifiedDateTime" : "2014-01-05",
  "author" : {
    "reference" : "Device/software"
  },
  "implicated" : [
    {
      "reference" : "MedicationStatement/example001",
      "display" : "500 mg Acetaminophen tablet 1/day, PRN since 2010
"
    },
    {
      "reference" : "MedicationRequest/medrx0331",
      "display" : "Warfarin 1 MG TAB prescribed Jan. 15, 2015"
    }
  ],
  "detail" : "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.",
  "mitigation" : [
    {
      "action" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code" : "13",
            "display" : "Stopped Concurrent Therapy"
          }
        ],
        "text" : "Asked patient to discontinue regular use of Tylenol and to consult with clinician if they need to resume to allow appropriate INR monitoring"
      },
      "date" : "2014-01-05",
      "author" : {
        "reference" : "Practitioner/example",
        "display" : "Dr. Adam Careful"
      }
    }
  ]
}

DetectedIssue "allergy" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

[Put rendering here]

{
  "resourceType" : "DetectedIssue",
  "id" : "allergy",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:26.582Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">[Put rendering here]</div>"
  },
  "status" : "final"
}