<?xml version=“1.0” encoding=“UTF-8”?> <DetectedIssue xmlns=“hl7.org/fhir”>

<id value="ddi"/>
<meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>

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

</DetectedIssue>