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 - XML Representation

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<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"/>
    <resource>
      <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>
          </code>
          <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"/>
            </coding>
          </code>
          <entry>
            <reference
                       value="Condition/bcc79261-142c-48ec-b032-f3f9af49ec55"/>
            <display value="Psoriasis"/>
          </entry>
          <entry>
            <reference
                       value="Condition/f06b7cf8-c15c-4288-a0f9-45a1026e5135"/>
            <display value="Hypertension"/>
          </entry>
          <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"/>
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