{

"resourceType": "DetectedIssue",
"id": "ddi",
"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",
"category": {
  "coding": [
    {
      "system": "http://hl7.org/fhir/v3/ActCode",
      "code": "DRG",
      "display": "Drug Interaction Alert"
    }
  ]
},
"severity": "high",
"date": "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://hl7.org/fhir/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"
    }
  }
]

}