Gravitate Health FHIR Implementation Guide (FHIR R4)
0.1.0 - CI Build

Gravitate Health FHIR Implementation Guide (FHIR R4), published by . This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/gravitate-health-ips/ and changes regularly. See the Directory of published versions

: Helen Gravitate's IPS - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="gravitate-helen"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"/>
  </meta>
  <identifier>
    <system value="https://www.gravitatehealth.eu/sid/doc"/>
    <value value="helen-ips-1"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2021-04-18T09:22:00+02:00"/>
  <entry>
    <fullUrl
             value="https://myserver.org/Composition/5702fd1d-dd26-402e-a7c0-7629a5d9bba1"/>
    <resource>
      <Composition>
        <id value="gravitate-helen"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_gravitate-helen"> </a><p><b>Generated Narrative: Composition</b><a name="gravitate-helen"> </a><a name="hcgravitate-helen"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceComposition &quot;gravitate-helen&quot; </p></div><p><b>status</b>: final</p><p><b>type</b>: Patient summary Document <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#60591-5)</span></p><p><b>date</b>: 2018-07-10 15:22:00+0200</p><p><b>author</b>: See on this page: Practitioner/45cd0bd4-f685-4117-a9f0-5c53fffb7266: Dr. Anna Karlsson</p><p><b>title</b>: Patient Summary (Helen Gravitate)</p><p><b>confidentiality</b>: N</p></div>
        </text>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="60591-5"/>
            <display value="Patient summary Document"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/be61951b-44fc-4853-8822-f9d398193c50"/>
          <display value="Helen Gravitate"/>
        </subject>
        <date value="2018-07-10T15:22:00+02:00"/>
        <author>
          <reference
                     value="Practitioner/45cd0bd4-f685-4117-a9f0-5c53fffb7266"/>
          <display value="Dr. Anna Karlsson"/>
        </author>
        <title value="Patient Summary (Helen Gravitate)"/>
        <confidentiality value="N"/>
        <section>
          <title value="Allergies and Intolerances"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48765-2"/>
              <display value="Allergies and adverse reactions Document"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Hay fever (pollen)</li></ul></div>
          </text>
          <entry>
            <reference
                       value="AllergyIntolerance/cb6e84fa-4302-4569-ac1c-6b1b32507d16"/>
            <display value="Lactose Intolerance"/>
          </entry>
        </section>
        <section>
          <title value="Problem List"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11450-4"/>
              <display value="Problem list Reported"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Diabetes type 1</li></ul></div>
          </text>
          <entry>
            <reference
                       value="Condition/de06df6b-0967-4b01-822b-7cfeea970aa7"/>
            <display value="Diabetes type 1"/>
          </entry>
        </section>
        <section>
          <title value="Medication Summary"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10160-0"/>
              <display value="Hx of Medication use"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><table><thead><tr><th>Brand Name</th><th>MAN</th><th>Active Substance</th><th>Common Name</th><th>ATC</th><th>Strength</th><th>Dose Form</th><th>RoA</th></tr></thead><tbody><tr><td>Humalog Mix50 Insulin KwikPen, 3ml pre-fill</td><td>EU/1/96/007/035</td><td>insulin lispro (GFX7QIS1II)</td><td>insulin lispro</td><td>A10AD04</td><td>100 U/ml</td><td>Suspension for injection</td><td>Subcutaneous use</td></tr><tr><td>Monuril 3 g granules for oral solution</td><td>PL31654/0006</td><td>FOSFOMYCIN (2N81MY12TE)</td><td>fosfomycin</td><td>J01XX01</td><td>3 g (as trometamol: 5.631g/sachet)</td><td>Granules for oral solution</td><td>Oral use</td></tr></tbody></table></div>
          </text>
          <entry>
            <reference
                       value="MedicationStatement/18eb9898-dea7-4c5e-b097-e507e011747b"/>
            <display value="Humalog Mix50 Insulin KwikPen, 3ml pre-fill"/>
          </entry>
          <entry>
            <reference
                       value="MedicationStatement/c90b943a-3d8e-4f14-b56d-5c5c208b2065"/>
            <display value="Monuril 3 g granules for oral solution"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://myserver.org/Patient/be61951b-44fc-4853-8822-f9d398193c50"/>
    <resource>
      <Patient>
        <id value="be61951b-44fc-4853-8822-f9d398193c50"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Helen Gravitate, Female, 75 years old (1946-05-05)</div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/patient-citizenship">
          <extension url="code">
            <valueCodeableConcept>
              <coding>
                <system value="urn:iso:std:iso:3166"/>
                <code value="GB"/>
                <display
                         value="United Kingdom of Great Britain and Northern Ireland"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </extension>
        <identifier>
          <system value="https://www.gravitatehealth.eu/sid/doc"/>
          <value value="helen-1"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="Gravitate"/>
          <given value="Helen"/>
        </name>
        <gender value="female"/>
        <birthDate value="1946-05-05"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://myserver.org/Practitioner/45cd0bd4-f685-4117-a9f0-5c53fffb7266"/>
    <resource>
      <Practitioner>
        <id value="45cd0bd4-f685-4117-a9f0-5c53fffb7266"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Dr. Anne Karlsson</div>
        </text>
        <name>
          <family value="Karlsson"/>
          <given value="Anne"/>
          <prefix value="Dr."/>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://myserver.org/AllergyIntolerance/cb6e84fa-4302-4569-ac1c-6b1b32507d16"/>
    <resource>
      <AllergyIntolerance>
        <id value="cb6e84fa-4302-4569-ac1c-6b1b32507d16"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Lactose Intolerance</div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
            <code value="confirmed"/>
          </coding>
        </verificationStatus>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="47703008"/>
            <display value="Lactose"/>
          </coding>
        </code>
        <patient>
          <reference value="Patient/be61951b-44fc-4853-8822-f9d398193c50"/>
          <display value="Helen Gravitate"/>
        </patient>
      </AllergyIntolerance>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://myserver.org/Condition/de06df6b-0967-4b01-822b-7cfeea970aa7"/>
    <resource>
      <Condition>
        <id value="de06df6b-0967-4b01-822b-7cfeea970aa7"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Diabetes mellitus type 1 (2015)</div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="46635009"/>
            <display value="Diabetes mellitus type 1"/>
          </coding>
          <text value="Diabetes type 1"/>
        </code>
        <subject>
          <reference value="Patient/be61951b-44fc-4853-8822-f9d398193c50"/>
          <display value="Helen Gravitate"/>
        </subject>
        <onsetDateTime value="2015"/>
        <asserter>
          <reference
                     value="Practitioner/45cd0bd4-f685-4117-a9f0-5c53fffb7266"/>
          <display value="Dr. Anna Karlsson"/>
        </asserter>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://myserver.org/MedicationStatement/18eb9898-dea7-4c5e-b097-e507e011747b"/>
    <resource>
      <MedicationStatement>
        <id value="18eb9898-dea7-4c5e-b097-e507e011747b"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><table><thead><tr><th>Brand Name</th><th>MAN</th><th>Active Substance</th><th>Common Name</th><th>ATC</th><th>Strength</th><th>Dose Form</th><th>RoA</th></tr></thead><tbody><tr><td>Humalog Mix50 Insulin KwikPen, 3ml pre-fill</td><td>EU/1/96/007/035</td><td>insulin lispro (GFX7QIS1II)</td><td>insulin lispro</td><td>A10AD04</td><td>100 U/ml</td><td>Suspension for injection</td><td>Subcutaneous use</td></tr></tbody></table></div>
        </text>
        <status value="active"/>
        <medicationReference>
          <reference value="Medication/9d7be868-8264-4d94-ad04-ef04ecc92e50"/>
          <display value="Humalog Mix50 Insulin KwikPen, 3ml pre-fill"/>
        </medicationReference>
        <subject>
          <reference value="Patient/be61951b-44fc-4853-8822-f9d398193c50"/>
          <display value="Helen Gravitate"/>
        </subject>
        <dosage>
          <route>
            <coding>
              <system value="http://standardterms.edqm.eu"/>
              <code value="20066000"/>
              <display value="Subcutaneous use"/>
            </coding>
          </route>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://myserver.org/MedicationStatement/c90b943a-3d8e-4f14-b56d-5c5c208b2065"/>
    <resource>
      <MedicationStatement>
        <id value="c90b943a-3d8e-4f14-b56d-5c5c208b2065"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><table><thead><tr><th>Brand Name</th><th>MAN</th><th>Active Substance</th><th>Common Name</th><th>ATC</th><th>Strength</th><th>Dose Form</th><th>RoA</th></tr></thead><tbody><tr><td>Monuril 3 g granules for oral solution</td><td>PL31654/0006</td><td>FOSFOMYCIN (2N81MY12TE)</td><td>fosfomycin</td><td>J01XX01</td><td>3 g (as trometamol: 5.631g/sachet)</td><td>Granules for oral solution</td><td>Oral use</td></tr></tbody></table></div>
        </text>
        <basedOn>
          <reference
                     value="MedicationRequest/c872135e-f219-4f32-8fd6-7099009abf42"/>
        </basedOn>
        <status value="active"/>
        <medicationReference>
          <reference value="Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3"/>
          <display value="Monuril 3g granules for oral solution"/>
        </medicationReference>
        <subject>
          <reference value="Patient/be61951b-44fc-4853-8822-f9d398193c50"/>
          <display value="Helen Gravitate"/>
        </subject>
        <dosage>
          <route>
            <coding>
              <system value="http://standardterms.edqm.eu"/>
              <code value="20053000"/>
              <display value="Oral use"/>
            </coding>
          </route>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://myserver.org/MedicationRequest/c872135e-f219-4f32-8fd6-7099009abf42"/>
    <resource>
      <MedicationRequest>
        <id value="c872135e-f219-4f32-8fd6-7099009abf42"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_c872135e-f219-4f32-8fd6-7099009abf42"> </a><p><b>Generated Narrative: MedicationRequest</b><a name="c872135e-f219-4f32-8fd6-7099009abf42"> </a><a name="hcc872135e-f219-4f32-8fd6-7099009abf42"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceMedicationRequest &quot;c872135e-f219-4f32-8fd6-7099009abf42&quot; </p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: See on this page: Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3: Monuril</p><p><b>subject</b>: See on this page: Patient/be61951b-44fc-4853-8822-f9d398193c50</p></div>
        </text>
        <status value="active"/>
        <intent value="order"/>
        <medicationReference>
          <reference value="Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3"/>
          <display value="Monuril"/>
        </medicationReference>
        <subject>
          <reference value="Patient/be61951b-44fc-4853-8822-f9d398193c50"/>
        </subject>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://myserver.org/Medication/9d7be868-8264-4d94-ad04-ef04ecc92e50"/>
    <resource>
      <Medication>
        <id value="9d7be868-8264-4d94-ad04-ef04ecc92e50"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_9d7be868-8264-4d94-ad04-ef04ecc92e50"> </a><p><b>Generated Narrative: Medication</b><a name="9d7be868-8264-4d94-ad04-ef04ecc92e50"> </a><a name="hc9d7be868-8264-4d94-ad04-ef04ecc92e50"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceMedication &quot;9d7be868-8264-4d94-ad04-ef04ecc92e50&quot; </p></div><p><b>code</b>: Humalog Mix50 KwikPen 100 U/ml 5 pre-filled pen <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (pmswi#EU/1/96/007/035; phpid#0xF79CABF272B6A7EEF104DDDA44E82717 &quot;Insulin Lispro 100 U/ml 5 pre-filled pen&quot;; <a href="https://browser.ihtsdotools.org/">SNOWMED CT</a>#388454007 &quot;Product containing insulin lispro (medicinal product)&quot;; <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-WC.html">WHO ATC</a>#A10AD04 &quot;insulin lispro&quot;)</span></p><p><b>form</b>: Suspension for injection <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (standardterms.edqm.eu#11202000)</span></p><h3>Ingredients</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style="display: none">*</td><td>insulin lispro <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-UNII.html">Unique Ingredient Identifier (UNII)</a>#GFX7QIS1II)</span></td><td>100 units<span style="background: LightGoldenRodYellow"> (Details: UCUM code U = 'U')</span>/1 ml<span style="background: LightGoldenRodYellow"> (Details: UCUM code ml = 'ml')</span></td></tr></table></div>
        </text>
        <code>
          <coding>
            <system value="https://spor.ema.europa.eu/pmswi"/>
            <code value="EU/1/96/007/035"/>
            <display value="Humalog Mix50 KwikPen 100 U/ml 5 pre-filled pen"/>
          </coding>
          <coding>
            <system value="https://www.who-umc.org/phpid"/>
            <code value="0xF79CABF272B6A7EEF104DDDA44E82717"/>
            <display value="Insulin Lispro 100 U/ml 5 pre-filled pen"/>
          </coding>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="388454007"/>
            <display
                     value="Product containing insulin lispro (medicinal product)"/>
          </coding>
          <coding>
            <system value="http://www.whocc.no/atc"/>
            <code value="A10AD04"/>
            <display value="insulin lispro"/>
          </coding>
        </code>
        <form>
          <coding>
            <system value="http://standardterms.edqm.eu"/>
            <code value="11202000"/>
            <display value="Suspension for injection"/>
          </coding>
        </form>
        <ingredient>
          <itemCodeableConcept>
            <coding>
              <system value="http://fdasis.nlm.nih.gov"/>
              <code value="GFX7QIS1II"/>
              <display value="insulin lispro"/>
            </coding>
            <text value="insulin lispro"/>
          </itemCodeableConcept>
          <strength>
            <numerator>
              <value value="100"/>
              <unit value="units"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="U"/>
            </numerator>
            <denominator>
              <value value="1"/>
              <unit value="ml"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="ml"/>
            </denominator>
          </strength>
        </ingredient>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://myserver.org/Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3"/>
    <resource>
      <Medication>
        <id value="fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3"> </a><p><b>Generated Narrative: Medication</b><a name="fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3"> </a><a name="hcfdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceMedication &quot;fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3&quot; </p></div><p><b>code</b>: Monuril <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (pmswi#PL31654/0087; phpid#0xE857DA811B4A6F3BD57810C45D2EA1RF &quot;Fosfomycin, 3g, Granules for oral solution&quot;; <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-WC.html">WHO ATC</a>#J01XX01 &quot;fosfomycin&quot;)</span></p><p><b>form</b>: Granules for oral solution <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (standardterms.edqm.eu#10112000)</span></p><h3>Ingredients</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style="display: none">*</td><td>FOSFOMYCIN TROMETAMOL <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-UNII.html">Unique Ingredient Identifier (UNII)</a>#7FXW6U30GY &quot;FOSFOMYCIN TROMETHAMINE&quot;)</span></td><td>5.631 g<span style="background: LightGoldenRodYellow"> (Details: UCUM code g = 'g')</span>/1 Sachet<span style="background: LightGoldenRodYellow"> (Details: UCUM code {sachet} = '{sachet}')</span></td></tr></table></div>
        </text>
        <code>
          <coding>
            <system value="https://spor.ema.europa.eu/pmswi"/>
            <code value="PL31654/0087"/>
            <display value="Monuril"/>
          </coding>
          <coding>
            <system value="https://www.who-umc.org/phpid"/>
            <code value="0xE857DA811B4A6F3BD57810C45D2EA1RF"/>
            <display value="Fosfomycin, 3g, Granules for oral solution"/>
          </coding>
          <coding>
            <system value="http://www.whocc.no/atc"/>
            <code value="J01XX01"/>
            <display value="fosfomycin"/>
          </coding>
        </code>
        <form>
          <coding>
            <system value="http://standardterms.edqm.eu"/>
            <code value="10112000"/>
            <display value="Granules for oral solution"/>
          </coding>
        </form>
        <ingredient>
          <itemCodeableConcept>
            <coding>
              <system value="http://fdasis.nlm.nih.gov"/>
              <code value="7FXW6U30GY"/>
              <display value="FOSFOMYCIN TROMETHAMINE"/>
            </coding>
            <text value="FOSFOMYCIN TROMETAMOL"/>
          </itemCodeableConcept>
          <strength>
            <numerator>
              <value value="5.631"/>
              <unit value="g"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="g"/>
            </numerator>
            <denominator>
              <value value="1"/>
              <unit value="Sachet"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="{sachet}"/>
            </denominator>
          </strength>
        </ingredient>
      </Medication>
    </resource>
  </entry>
</Bundle>