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

: IPS Example 1 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "gravitate-ips-1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"
    ]
  },
  "identifier" : {
    "system" : "https://www.gravitatehealth.eu/sid/doc",
    "value" : "ips-1"
  },
  "type" : "document",
  "timestamp" : "2021-09-03T08:38:00+02:00",
  "entry" : [
    {
      "fullUrl" : "https://myserver.org/Composition/2fa5b223-ebce-4f39-9c66-5dc014f73575",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "ips-example-1",
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_ips-example-1\"> </a>\n  \n\n    \n      <b>Id:</b>\n      ips-example-1\n    <br/>\n    \n      <b>status:</b>\n      Final\n    <br/>\n    \n      <b>Type:</b>\n      Patient summary Document\n    <br/>\n    \n      <b>Subject:</b>\n      <a>Maria Gravitate</a>\n    \n\n    <br/>\n    <b>Sections:</b>\n    <br/>\n\n    <ul>\n      \n        <li>\n\n          Allergies and Intolerances\n\n        </li>\n        <ul>\n\n          \n\n            <li>\n\n              Hay fever (pollen)\n\n            </li>\n          \n\n            <li>\n\n              Lactose Intolerance\n\n            </li>\n          \n        </ul>\n\n      \n        <li>\n\n          Problem List\n\n        </li>\n        <ul>\n\n          \n\n            <li>\n\n              Psoriasis\n\n            </li>\n          \n\n            <li>\n\n              Hypertension\n\n            </li>\n          \n\n            <li>\n\n              Congestive heart failure\n\n            </li>\n          \n        </ul>\n\n      \n        <li>\n\n          Medication Summary\n\n        </li>\n        <ul>\n\n          \n\n            <li>\n\n              Dimethyl fumarate 30 mg Gastro-resistant tablet\n\n            </li>\n          \n\n            <li>\n\n              Irbesartan 75 mg Tablet\n\n            </li>\n          \n\n            <li>\n\n              Oxymetazoline hydrochloride  0.05 mg / 1 ml Spray\n\n            </li>\n          \n        </ul>\n\n      \n\n    </ul>\n\n  \n\n</div>"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "60591-5",
              "display" : "Patient summary Document"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6",
          "display" : "Maria Gravitate"
        },
        "date" : "2018-07-10T15:22:00+02:00",
        "author" : [
          {
            "reference" : "Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d5",
            "display" : "Dr. Anna Karlsson"
          }
        ],
        "title" : "Patient Summary (Maria Gravitate)",
        "confidentiality" : "N",
        "section" : [
          {
            "title" : "Allergies and Intolerances",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48765-2",
                  "display" : "Allergies and adverse reactions Document"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "AllergyIntolerance/1dff4474-fa08-4f45-8260-dbb23094bf05",
                "display" : "Hay fever (pollen)"
              },
              {
                "reference" : "AllergyIntolerance/9d18cddb-8e58-4fbb-82ec-09cc561ac805",
                "display" : "Lactose Intolerance"
              }
            ]
          },
          {
            "title" : "Problem List",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11450-4",
                  "display" : "Problem list Reported"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Condition/bcc79261-142c-48ec-b032-f3f9af49ec55",
                "display" : "Psoriasis"
              },
              {
                "reference" : "Condition/f06b7cf8-c15c-4288-a0f9-45a1026e5135",
                "display" : "Hypertension"
              },
              {
                "reference" : "Condition/a4a9d90a-d1b0-4d60-82f0-c52343dc6255",
                "display" : "Congestive heart failure"
              }
            ]
          },
          {
            "title" : "Medication Summary",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "10160-0",
                  "display" : "Hx of Medication use"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "MedicationStatement/29074ca4-efcb-4ff4-8446-feed2399a895",
                "display" : "Dimethyl fumarate 30 mg Gastro-resistant tablet"
              },
              {
                "reference" : "MedicationStatement/f6cb1218-f81c-4338-80d8-3c10910f78f5",
                "display" : "Irbesartan 75 mg Tablet"
              },
              {
                "reference" : "MedicationStatement/f26084c9-b1c8-46d9-acb2-1d400ade87b5",
                "display" : "Oxymetazoline hydrochloride  0.05 mg / 1 ml Spray"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "https://myserver.org/Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "c154158f-6a43-4ab7-8443-e7f4bf915dd6",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Maria Gravitate, Female, 75 years old (1946-05-05)</div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "code",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "urn:iso:std:iso:3166",
                      "code" : "NO",
                      "display" : "Norway"
                    }
                  ]
                }
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship"
          }
        ],
        "identifier" : [
          {
            "system" : "https://www.gravitatehealth.eu/sid/doc",
            "value" : "ips-1"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "Gravitate",
            "given" : [
              "IPS"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1946-05-05"
      }
    },
    {
      "fullUrl" : "https://myserver.org/Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d5",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "1ece89c5-fda3-4db9-ace6-decbe6c603d5",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dr. Anne Karlsson</div>"
        },
        "name" : [
          {
            "family" : "Karlsson",
            "given" : [
              "Anne"
            ],
            "prefix" : [
              "Dr."
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "https://myserver.org/AllergyIntolerance/1dff4474-fa08-4f45-8260-dbb23094bf05",
      "resource" : {
        "resourceType" : "AllergyIntolerance",
        "id" : "1dff4474-fa08-4f45-8260-dbb23094bf05",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hay fever</div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code" : "active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code" : "confirmed"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "256259004",
              "display" : "Pollen"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6",
          "display" : "IPS 1"
        },
        "reaction" : [
          {
            "manifestation" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "21719001",
                    "display" : "Allergic rhinitis caused by pollen"
                  }
                ],
                "text" : "Hay fever"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "https://myserver.org/AllergyIntolerance/9d18cddb-8e58-4fbb-82ec-09cc561ac805",
      "resource" : {
        "resourceType" : "AllergyIntolerance",
        "id" : "9d18cddb-8e58-4fbb-82ec-09cc561ac805",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Lactose Intolerance</div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code" : "active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code" : "confirmed"
            }
          ]
        },
        "type" : "intolerance",
        "category" : [
          "food"
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "782415009",
              "display" : "Intolerance to lactose"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6",
          "display" : "IPS 1"
        },
        "onsetAge" : {
          "value" : 1,
          "unit" : "year",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        },
        "recordedDate" : "2009-10-09",
        "reaction" : [
          {
            "substance" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "47703008",
                  "display" : "lactose"
                }
              ]
            },
            "manifestation" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "21522001",
                    "display" : "Abdominal pain"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "116289008",
                    "display" : "Abdominal bloating"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "62315008",
                    "display" : "Diarrhea"
                  }
                ]
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "https://myserver.org/Condition/bcc79261-142c-48ec-b032-f3f9af49ec55",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "bcc79261-142c-48ec-b032-f3f9af49ec55",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_bcc79261-142c-48ec-b032-f3f9af49ec55\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition bcc79261-142c-48ec-b032-f3f9af49ec55</b></p><a name=\"bcc79261-142c-48ec-b032-f3f9af49ec55\"> </a><a name=\"hcbcc79261-142c-48ec-b032-f3f9af49ec55\"> </a><a name=\"bcc79261-142c-48ec-b032-f3f9af49ec55-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 9014002}\">Psoriasis</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-1.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd6\">Maria Gravitate</a></p><p><b>asserter</b>: <a href=\"Bundle-gravitate-ips-1.html#Practitioner_1ece89c5-fda3-4db9-ace6-decbe6c603d5\">Dr. Anna Karlsson</a></p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "9014002",
              "display" : "Psoriasis"
            }
          ],
          "text" : "Psoriasis"
        },
        "subject" : {
          "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6",
          "display" : "Maria Gravitate"
        },
        "asserter" : {
          "reference" : "Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d5",
          "display" : "Dr. Anna Karlsson"
        }
      }
    },
    {
      "fullUrl" : "https://myserver.org/Condition/a4a9d90a-d1b0-4d60-82f0-c52343dc6255",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "a4a9d90a-d1b0-4d60-82f0-c52343dc6255",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Congestive heart failure (2015)</div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "42343007",
              "display" : "Congestive heart failure"
            }
          ],
          "text" : "Congestive heart failure"
        },
        "subject" : {
          "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6",
          "display" : "Maria Gravitate"
        },
        "onsetDateTime" : "2015",
        "asserter" : {
          "reference" : "Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d5",
          "display" : "Dr. Anna Karlsson"
        }
      }
    },
    {
      "fullUrl" : "https://myserver.org/Condition/f06b7cf8-c15c-4288-a0f9-45a1026e5135",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "f06b7cf8-c15c-4288-a0f9-45a1026e5135",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_f06b7cf8-c15c-4288-a0f9-45a1026e5135\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition f06b7cf8-c15c-4288-a0f9-45a1026e5135</b></p><a name=\"f06b7cf8-c15c-4288-a0f9-45a1026e5135\"> </a><a name=\"hcf06b7cf8-c15c-4288-a0f9-45a1026e5135\"> </a><a name=\"f06b7cf8-c15c-4288-a0f9-45a1026e5135-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 38341003}\">Hypertension</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-1.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd6\">Maria Gravitate</a></p><p><b>onset</b>: 1993</p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "38341003",
              "display" : "HT - Hypertension"
            }
          ],
          "text" : "Hypertension"
        },
        "subject" : {
          "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6",
          "display" : "Maria Gravitate"
        },
        "onsetDateTime" : "1993"
      }
    },
    {
      "fullUrl" : "https://myserver.org/MedicationStatement/29074ca4-efcb-4ff4-8446-feed2399a895",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "29074ca4-efcb-4ff4-8446-feed2399a895",
        "text" : {
          "status" : "generated",
          "div" : "<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>Skilarence</td><td>EU/1/17/1201/001</td><td>dimethyl fumarate (FO2303MNI2)</td><td>dimethyl fumarate</td><td>L04AX07</td><td>30 mg</td><td>Gastro-resistant tablet</td><td>Oral use</td></tr></tbody></table></div>"
        },
        "status" : "active",
        "medicationReference" : {
          "reference" : "Medication/b50ae644-e0b7-4007-809f-26f493cbe365",
          "display" : "Dimethyl fumarate 30 mg Tablet"
        },
        "subject" : {
          "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6",
          "display" : "Maria Gravitate"
        },
        "dosage" : [
          {
            "route" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "20053000",
                  "display" : "Oral use"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "https://myserver.org/MedicationStatement/f6cb1218-f81c-4338-80d8-3c10910f78f5",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "f6cb1218-f81c-4338-80d8-3c10910f78f5",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_f6cb1218-f81c-4338-80d8-3c10910f78f5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement f6cb1218-f81c-4338-80d8-3c10910f78f5</b></p><a name=\"f6cb1218-f81c-4338-80d8-3c10910f78f5\"> </a><a name=\"hcf6cb1218-f81c-4338-80d8-3c10910f78f5\"> </a><a name=\"f6cb1218-f81c-4338-80d8-3c10910f78f5-en-US\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-ips-1.html#Medication_de131e15-ed13-4b31-b38c-3204a84d99c5\">Irbesartan 75 mg Tablet</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-1.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd6\">Maria Gravitate</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Route</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://standardterms.edqm.eu 20053000}\">Oral use</span></td></tr></table></div>"
        },
        "status" : "active",
        "medicationReference" : {
          "reference" : "Medication/de131e15-ed13-4b31-b38c-3204a84d99c5",
          "display" : "Irbesartan 75 mg Tablet"
        },
        "subject" : {
          "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6",
          "display" : "Maria Gravitate"
        },
        "dosage" : [
          {
            "route" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "20053000",
                  "display" : "Oral use"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "https://myserver.org/MedicationStatement/f26084c9-b1c8-46d9-acb2-1d400ade87b5",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "f26084c9-b1c8-46d9-acb2-1d400ade87b5",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_f26084c9-b1c8-46d9-acb2-1d400ade87b5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement f26084c9-b1c8-46d9-acb2-1d400ade87b5</b></p><a name=\"f26084c9-b1c8-46d9-acb2-1d400ade87b5\"> </a><a name=\"hcf26084c9-b1c8-46d9-acb2-1d400ade87b5\"> </a><a name=\"f26084c9-b1c8-46d9-acb2-1d400ade87b5-en-US\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-ips-1.html#Medication_9ac3356c-4ea4-4814-84c3-235484f2ef15\">Oxymetazoline hydrochloride  0.05 mg / 1 ml Spray</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-1.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd6\">Maria Gravitate</a></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Route</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://standardterms.edqm.eu 20049000}\">Nasal use</span></td></tr></table></div>"
        },
        "status" : "active",
        "medicationReference" : {
          "reference" : "Medication/9ac3356c-4ea4-4814-84c3-235484f2ef15",
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