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
<Bundle xmlns="http://hl7.org/fhir">
<id value="gravitate-ips-1"/>
<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="ips-1"/>
</identifier>
<type value="document"/>
<timestamp value="2021-09-03T08:38:00+02:00"/>
<entry>
<fullUrl
value="https://myserver.org/Composition/2fa5b223-ebce-4f39-9c66-5dc014f73575"/>
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<Composition>
<id value="ips-example-1"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_ips-example-1"> </a>
<b>Id:</b>
ips-example-1
<br/>
<b>status:</b>
Final
<br/>
<b>Type:</b>
Patient summary Document
<br/>
<b>Subject:</b>
<a>Maria Gravitate</a>
<br/>
<b>Sections:</b>
<br/>
<ul>
<li>
Allergies and Intolerances
</li>
<ul>
<li>
Hay fever (pollen)
</li>
<li>
Lactose Intolerance
</li>
</ul>
<li>
Problem List
</li>
<ul>
<li>
Psoriasis
</li>
<li>
Hypertension
</li>
<li>
Congestive heart failure
</li>
</ul>
<li>
Medication Summary
</li>
<ul>
<li>
Dimethyl fumarate 30 mg Gastro-resistant tablet
</li>
<li>
Irbesartan 75 mg Tablet
</li>
<li>
Oxymetazoline hydrochloride 0.05 mg / 1 ml Spray
</li>
</ul>
</ul>
</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/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
<display value="Maria Gravitate"/>
</subject>
<date value="2018-07-10T15:22:00+02:00"/>
<author>
<reference
value="Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d5"/>
<display value="Dr. Anna Karlsson"/>
</author>
<title value="Patient Summary (Maria 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>
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<entry>
<reference
value="AllergyIntolerance/1dff4474-fa08-4f45-8260-dbb23094bf05"/>
<display value="Hay fever (pollen)"/>
</entry>
<entry>
<reference
value="AllergyIntolerance/9d18cddb-8e58-4fbb-82ec-09cc561ac805"/>
<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"/>
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</code>
<entry>
<reference
value="Condition/bcc79261-142c-48ec-b032-f3f9af49ec55"/>
<display value="Psoriasis"/>
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<entry>
<reference
value="Condition/f06b7cf8-c15c-4288-a0f9-45a1026e5135"/>
<display value="Hypertension"/>
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<entry>
<reference
value="Condition/a4a9d90a-d1b0-4d60-82f0-c52343dc6255"/>
<display value="Congestive heart failure"/>
</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>
<entry>
<reference
value="MedicationStatement/29074ca4-efcb-4ff4-8446-feed2399a895"/>
<display value="Dimethyl fumarate 30 mg Gastro-resistant tablet"/>
</entry>
<entry>
<reference
value="MedicationStatement/f6cb1218-f81c-4338-80d8-3c10910f78f5"/>
<display value="Irbesartan 75 mg Tablet"/>
</entry>
<entry>
<reference
value="MedicationStatement/f26084c9-b1c8-46d9-acb2-1d400ade87b5"/>
<display
value="Oxymetazoline hydrochloride 0.05 mg / 1 ml Spray"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="https://myserver.org/Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
<resource>
<Patient>
<id value="c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Maria 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="NO"/>
<display value="Norway"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<identifier>
<system value="https://www.gravitatehealth.eu/sid/doc"/>
<value value="ips-1"/>
</identifier>
<active value="true"/>
<name>
<family value="Gravitate"/>
<given value="IPS"/>
</name>
<gender value="female"/>
<birthDate value="1946-05-05"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="https://myserver.org/Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d5"/>
<resource>
<Practitioner>
<id value="1ece89c5-fda3-4db9-ace6-decbe6c603d5"/>
<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/1dff4474-fa08-4f45-8260-dbb23094bf05"/>
<resource>
<AllergyIntolerance>
<id value="1dff4474-fa08-4f45-8260-dbb23094bf05"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Hay fever</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="256259004"/>
<display value="Pollen"/>
</coding>
</code>
<patient>
<reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
<display value="IPS 1"/>
</patient>
<reaction>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="21719001"/>
<display value="Allergic rhinitis caused by pollen"/>
</coding>
<text value="Hay fever"/>
</manifestation>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
<entry>
<fullUrl
value="https://myserver.org/AllergyIntolerance/9d18cddb-8e58-4fbb-82ec-09cc561ac805"/>
<resource>
<AllergyIntolerance>
<id value="9d18cddb-8e58-4fbb-82ec-09cc561ac805"/>
<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>
<type value="intolerance"/>
<category value="food"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="782415009"/>
<display value="Intolerance to lactose"/>
</coding>
</code>
<patient>
<reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
<display value="IPS 1"/>
</patient>
<onsetAge>
<value value="1"/>
<unit value="year"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</onsetAge>
<recordedDate value="2009-10-09"/>
<reaction>
<substance>
<coding>
<system value="http://snomed.info/sct"/>
<code value="47703008"/>
<display value="lactose"/>
</coding>
</substance>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="21522001"/>
<display value="Abdominal pain"/>
</coding>
</manifestation>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="116289008"/>
<display value="Abdominal bloating"/>
</coding>
</manifestation>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="62315008"/>
<display value="Diarrhea"/>
</coding>
</manifestation>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
<entry>
<fullUrl
value="https://myserver.org/Condition/bcc79261-142c-48ec-b032-f3f9af49ec55"/>
<resource>
<Condition>
<id value="bcc79261-142c-48ec-b032-f3f9af49ec55"/>
<text>
<status value="generated"/>
<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>
</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="9014002"/>
<display value="Psoriasis"/>
</coding>
<text value="Psoriasis"/>
</code>
<subject>
<reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
<display value="Maria Gravitate"/>
</subject>
<asserter>
<reference
value="Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d5"/>
<display value="Dr. Anna Karlsson"/>
</asserter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://myserver.org/Condition/a4a9d90a-d1b0-4d60-82f0-c52343dc6255"/>
<resource>
<Condition>
<id value="a4a9d90a-d1b0-4d60-82f0-c52343dc6255"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Congestive heart failure (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="42343007"/>
<display value="Congestive heart failure"/>
</coding>
<text value="Congestive heart failure"/>
</code>
<subject>
<reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
<display value="Maria Gravitate"/>
</subject>
<onsetDateTime value="2015"/>
<asserter>
<reference
value="Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d5"/>
<display value="Dr. Anna Karlsson"/>
</asserter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://myserver.org/Condition/f06b7cf8-c15c-4288-a0f9-45a1026e5135"/>
<resource>
<Condition>
<id value="f06b7cf8-c15c-4288-a0f9-45a1026e5135"/>
<text>
<status value="generated"/>
<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>
</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="38341003"/>
<display value="HT - Hypertension"/>
</coding>
<text value="Hypertension"/>
</code>
<subject>
<reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
<display value="Maria Gravitate"/>
</subject>
<onsetDateTime value="1993"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://myserver.org/MedicationStatement/29074ca4-efcb-4ff4-8446-feed2399a895"/>
<resource>
<MedicationStatement>
<id value="29074ca4-efcb-4ff4-8446-feed2399a895"/>
<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>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>
</text>
<status value="active"/>
<medicationReference>
<reference value="Medication/b50ae644-e0b7-4007-809f-26f493cbe365"/>
<display value="Dimethyl fumarate 30 mg Tablet"/>
</medicationReference>
<subject>
<reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
<display value="Maria 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/MedicationStatement/f6cb1218-f81c-4338-80d8-3c10910f78f5"/>
<resource>
<MedicationStatement>
<id value="f6cb1218-f81c-4338-80d8-3c10910f78f5"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<medicationReference>
<reference value="Medication/de131e15-ed13-4b31-b38c-3204a84d99c5"/>
<display value="Irbesartan 75 mg Tablet"/>
</medicationReference>
<subject>
<reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
<display value="Maria 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/MedicationStatement/f26084c9-b1c8-46d9-acb2-1d400ade87b5"/>
<resource>
<MedicationStatement>
<id value="f26084c9-b1c8-46d9-acb2-1d400ade87b5"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<medicationReference>
<reference value="Medication/9ac3356c-4ea4-4814-84c3-235484f2ef15"/>
<display value="Oxymetazoline hydrochloride 0.05 mg / 1 ml Spray"/>
</medicationReference>
<subject>
<reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
<display value="Maria Gravitate"/>
</subject>
<dosage>
<route>
<coding>
<system value="http://standardterms.edqm.eu"/>
<code value="20049000"/>
<display value="Nasal use"/>
</coding>
</route>
</dosage>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl
value="https://myserver.org/Medication/b50ae644-e0b7-4007-809f-26f493cbe365"/>
<resource>
<Medication>
<id value="b50ae644-e0b7-4007-809f-26f493cbe365"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_b50ae644-e0b7-4007-809f-26f493cbe365"> </a><p class="res-header-id"><b>Generated Narrative: Medication b50ae644-e0b7-4007-809f-26f493cbe365</b></p><a name="b50ae644-e0b7-4007-809f-26f493cbe365"> </a><a name="hcb50ae644-e0b7-4007-809f-26f493cbe365"> </a><a name="b50ae644-e0b7-4007-809f-26f493cbe365-en-US"> </a><p><b>code</b>: <span title="Codes:{https://spor.ema.europa.eu/pmswi EU/1/17/1201/001}, {https://www.who-umc.org/phpid 0x9982CA8A825D4561506CE808982E3B9D}, {http://www.whocc.no/atc L04AX07}">Skilarence</span></p><p><b>form</b>: <span title="Codes:{http://standardterms.edqm.eu 10225000}">Gastro-resistant tablet</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><span title="Codes:{http://fdasis.nlm.nih.gov FO2303MNI2}">dimethyl fumarate</span></td><td>30 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg = 'mg')</span>/1 Tablet<span style="background: LightGoldenRodYellow"> (Details: UCUM code{tablet} = '{tablet}')</span></td></tr></table></div>
</text>
<code>
<coding>
<system value="https://spor.ema.europa.eu/pmswi"/>
<code value="EU/1/17/1201/001"/>
<display value="Skilarence"/>
</coding>
<coding>
<system value="https://www.who-umc.org/phpid"/>
<code value="0x9982CA8A825D4561506CE808982E3B9D"/>
<display
value="dimethyl fumarate, 30 mg/ 1 tablet, Gastro-resistant tablet"/>
</coding>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="L04AX07"/>
<display value="dimethyl fumarate"/>
</coding>
</code>
<form>
<coding>
<system value="http://standardterms.edqm.eu"/>
<code value="10225000"/>
<display value="Gastro-resistant tablet"/>
</coding>
</form>
<ingredient>
<itemCodeableConcept>
<coding>
<system value="http://fdasis.nlm.nih.gov"/>
<code value="FO2303MNI2"/>
<display value="dimethyl fumarate"/>
</coding>
<text value="dimethyl fumarate"/>
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