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

: Maria Gravitate's IPS - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="gravitate-maria"/>
  <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="maria-ips-1"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2021-09-03T08:38:00+02:00"/>
  <entry>
    <fullUrl
             value="https://myserver.org/Composition/2fa5b223-ebce-4f39-9c66-5dc014f73572"/>
    <resource>
      <Composition>
        <id value="gravitate-maria"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_gravitate-maria"> </a>
  

    
      <b>Id:</b>
      gravitate-maria
    <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>
          
        </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-e7f4bf915dd5"/>
          <display value="Maria Gravitate"/>
        </subject>
        <date value="2018-07-10T15:22:00+02:00"/>
        <author>
          <reference
                     value="Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d8"/>
          <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>
          <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/1dff4474-fa08-4f45-8260-dbb23094bf07"/>
            <display value="Hay fever (pollen)"/>
          </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>Psoriasis</li><li>Hypertension</li><li>Congestive heart failure</li></ul></div>
          </text>
          <entry>
            <reference
                       value="Condition/bcc79261-142c-48ec-b032-f3f9af49ec58"/>
            <display value="Psoriasis"/>
          </entry>
          <entry>
            <reference
                       value="Condition/f06b7cf8-c15c-4288-a0f9-45a1026e5130"/>
            <display value="Hypertension"/>
          </entry>
          <entry>
            <reference
                       value="Condition/a4a9d90a-d1b0-4d60-82f0-c52343dc6256"/>
            <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>
          <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><tr><td>Karvea</td><td>EMEA/H/C/000142</td><td>irbesartan (J0E2756Z7N)</td><td>irbesartan</td><td>C09DA04</td><td>75 mg</td><td>Tablet</td><td>Oral use</td></tr><tr><td>Boots Decongestant 0.05% w/v Nasal spray</td><td>PL 16028/0049</td><td>oxymetazoline hydrochloride (K89MJ0S5VY)</td><td>oxymetazoline hydrochloride</td><td>R01AA05</td><td>0.05 mg / 1 ml</td><td>Nasal spray, solution</td><td>Nasal use</td></tr></tbody></table></div>
          </text>
          <entry>
            <reference
                       value="MedicationStatement/29074ca4-efcb-4ff4-8446-feed2399a899"/>
            <display value="Dimethyl fumarate 30 mg Gastro-resistant tablet"/>
          </entry>
          <entry>
            <reference
                       value="MedicationStatement/f6cb1218-f81c-4338-80d8-3c10910f78fd"/>
            <display value="Irbesartan 75 mg Tablet"/>
          </entry>
          <entry>
            <reference
                       value="MedicationStatement/f26084c9-b1c8-46d9-acb2-1d400ade87ba"/>
            <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-e7f4bf915dd5"/>
    <resource>
      <Patient>
        <id value="c154158f-6a43-4ab7-8443-e7f4bf915dd5"/>
        <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="maria-1"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="Gravitate"/>
          <given value="Maria"/>
        </name>
        <gender value="female"/>
        <birthDate value="1946-05-05"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://myserver.org/Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d8"/>
    <resource>
      <Practitioner>
        <id value="1ece89c5-fda3-4db9-ace6-decbe6c603d8"/>
        <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-dbb23094bf07"/>
    <resource>
      <AllergyIntolerance>
        <id value="1dff4474-fa08-4f45-8260-dbb23094bf07"/>
        <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-e7f4bf915dd5"/>
          <display value="Maria Gravitate"/>
        </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/Condition/bcc79261-142c-48ec-b032-f3f9af49ec58"/>
    <resource>
      <Condition>
        <id value="bcc79261-142c-48ec-b032-f3f9af49ec58"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_bcc79261-142c-48ec-b032-f3f9af49ec58"> </a><p class="res-header-id"><b>Generated Narrative: Condition bcc79261-142c-48ec-b032-f3f9af49ec58</b></p><a name="bcc79261-142c-48ec-b032-f3f9af49ec58"> </a><a name="hcbcc79261-142c-48ec-b032-f3f9af49ec58"> </a><a name="bcc79261-142c-48ec-b032-f3f9af49ec58-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-maria.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd5">Maria Gravitate</a></p><p><b>asserter</b>: <a href="Bundle-gravitate-maria.html#Practitioner_1ece89c5-fda3-4db9-ace6-decbe6c603d8">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-e7f4bf915dd5"/>
          <display value="Maria Gravitate"/>
        </subject>
        <asserter>
          <reference
                     value="Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d8"/>
          <display value="Dr. Anna Karlsson"/>
        </asserter>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://myserver.org/Condition/a4a9d90a-d1b0-4d60-82f0-c52343dc6256"/>
    <resource>
      <Condition>
        <id value="a4a9d90a-d1b0-4d60-82f0-c52343dc6256"/>
        <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-e7f4bf915dd5"/>
          <display value="Maria Gravitate"/>
        </subject>
        <onsetDateTime value="2015"/>
        <asserter>
          <reference
                     value="Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d8"/>
          <display value="Dr. Anna Karlsson"/>
        </asserter>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://myserver.org/Condition/f06b7cf8-c15c-4288-a0f9-45a1026e5130"/>
    <resource>
      <Condition>
        <id value="f06b7cf8-c15c-4288-a0f9-45a1026e5130"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_f06b7cf8-c15c-4288-a0f9-45a1026e5130"> </a><p class="res-header-id"><b>Generated Narrative: Condition f06b7cf8-c15c-4288-a0f9-45a1026e5130</b></p><a name="f06b7cf8-c15c-4288-a0f9-45a1026e5130"> </a><a name="hcf06b7cf8-c15c-4288-a0f9-45a1026e5130"> </a><a name="f06b7cf8-c15c-4288-a0f9-45a1026e5130-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-maria.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd5">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-e7f4bf915dd5"/>
          <display value="Maria Gravitate"/>
        </subject>
        <onsetDateTime value="1993"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://myserver.org/MedicationStatement/29074ca4-efcb-4ff4-8446-feed2399a899"/>
    <resource>
      <MedicationStatement>
        <id value="29074ca4-efcb-4ff4-8446-feed2399a899"/>
        <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-26f493cbe36b"/>
          <display value="Dimethyl fumarate 30 mg Tablet"/>
        </medicationReference>
        <subject>
          <reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd5"/>
          <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-4338-80d8-3c10910f78fd"/>
    <resource>
      <MedicationStatement>
        <id value="f6cb1218-f81c-4338-80d8-3c10910f78fd"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_f6cb1218-f81c-4338-80d8-3c10910f78fd"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement f6cb1218-f81c-4338-80d8-3c10910f78fd</b></p><a name="f6cb1218-f81c-4338-80d8-3c10910f78fd"> </a><a name="hcf6cb1218-f81c-4338-80d8-3c10910f78fd"> </a><a name="f6cb1218-f81c-4338-80d8-3c10910f78fd-en-US"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href="Bundle-gravitate-maria.html#Medication_de131e15-ed13-4b31-b38c-3204a84d99c7">Irbesartan 75 mg Tablet</a></p><p><b>subject</b>: <a href="Bundle-gravitate-maria.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd5">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-3204a84d99c7"/>
          <display value="Irbesartan 75 mg Tablet"/>
        </medicationReference>
        <subject>
          <reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd5"/>
          <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-acb2-1d400ade87ba"/>
    <resource>
      <MedicationStatement>
        <id value="f26084c9-b1c8-46d9-acb2-1d400ade87ba"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_f26084c9-b1c8-46d9-acb2-1d400ade87ba"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement f26084c9-b1c8-46d9-acb2-1d400ade87ba</b></p><a name="f26084c9-b1c8-46d9-acb2-1d400ade87ba"> </a><a name="hcf26084c9-b1c8-46d9-acb2-1d400ade87ba"> </a><a name="f26084c9-b1c8-46d9-acb2-1d400ade87ba-en-US"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href="Bundle-gravitate-maria.html#Medication_9ac3356c-4ea4-4814-84c3-235484f2ef10">Oxymetazoline hydrochloride  0.05 mg / 1 ml Spray</a></p><p><b>subject</b>: <a href="Bundle-gravitate-maria.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd5">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-4ea4-4814-84c3-235484f2ef10"/>
          <display value="Oxymetazoline hydrochloride  0.05 mg / 1 ml Spray"/>
        </medicationReference>
        <subject>
          <reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd5"/>
          <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-26f493cbe36b"/>
    <resource>
      <Medication>
        <id value="b50ae644-e0b7-4007-809f-26f493cbe36b"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_b50ae644-e0b7-4007-809f-26f493cbe36b"> </a><p class="res-header-id"><b>Generated Narrative: Medication b50ae644-e0b7-4007-809f-26f493cbe36b</b></p><a name="b50ae644-e0b7-4007-809f-26f493cbe36b"> </a><a name="hcb50ae644-e0b7-4007-809f-26f493cbe36b"> </a><a name="b50ae644-e0b7-4007-809f-26f493cbe36b-en-US"> </a><p><b>code</b>: <span title="Codes:{https://spor.ema.europa.eu/pmswi EU/1/17/1201/002}, {https://www.who-umc.org/phpid 0x9982CA8A825D4561506CE808982E3B9D}, {http://www.whocc.no/atc L04AX07}">Skilarence 120 mg gastro-resistant tablets</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>
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            <code value="EU/1/17/1201/002"/>
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