FHIR © HL7.org  |  Server Home  |  Health Intersections FHIR Server v1.0.287  |  FHIR Version 4.0.0  | User: ANONYMOUS (Unknown)  

Resource "ddi" Version "1" (DetectedIssue)

Tags:

XML or JSON representation . provenance for this resource

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"
      }
    }
  ]
}