# Helen Gravitate's IPS - Gravitate Health FHIR Implementation Guide (FHIR R4) v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Helen Gravitate's IPS**

## Example Bundle: Helen Gravitate's IPS

**id:**gravitate-helen

**Composition status:**final

**Composition Type:**Patient summary Document

**Subject:**

**identifier:**helen-1

**Name:**Helen Gravitate

**active:**true

**gender:**female

**Birth Date:**1946-05-05

### Sections

#### Allergies and Intolerances

**Allergy:**Lactose (47703008)

**clinicalStatus:**active

**verificationStatus:**confirmed

#### Problem List

**Condition:**Diabetes type 1 (46635009)

**clinicalStatus:**active

**asserter:**Dr. Anna Karlsson

**onsetDateTime:**2015

#### Medication Summary

**Medication:**Humalog Mix50 Insulin KwikPen, 3ml pre-fill

**status:**active

**Medication Detail:**

*  **System** https://spor.ema.europa.eu/pmswi **Code:** EU/1/96/007/035 [Humalog Mix50 KwikPen 100 U/ml 5 pre-filled pen]

*  **System** https://www.who-umc.org/phpid **Code:** 0xF79CABF272B6A7EEF104DDDA44E82717 [Insulin Lispro 100 U/ml 5 pre-filled pen]

*  **System** http://snomed.info/sct **Code:** 388454007 [Product containing insulin lispro (medicinal product)]

*  **System** http://www.whocc.no/atc **Code:** A10AD04 [insulin lispro]

**Dose Form:**Suspension for injection

**Ingredient:**insulin lispro (http://fdasis.nlm.nih.gov#GFX7QIS1II)

**strength:**100 U/1 ml

**Route:**Subcutaneous use

**Medication:**Monuril 3g granules for oral solution

**status:**active

**Medication Detail:**

*  **System** https://spor.ema.europa.eu/pmswi **Code:** PL31654/0087 [Monuril]

*  **System** https://www.who-umc.org/phpid **Code:** 0xE857DA811B4A6F3BD57810C45D2EA1RF [Fosfomycin, 3g, Granules for oral solution]

*  **System** http://www.whocc.no/atc **Code:** J01XX01 [fosfomycin]

**Dose Form:**Granules for oral solution

**Ingredient:**FOSFOMYCIN TROMETHAMINE (http://fdasis.nlm.nih.gov#7FXW6U30GY)

**strength:**5.631 g/1 Sachet

**Route:**Oral use



## Resource Content

```json
{
  "resourceType" : "Bundle",
  "id" : "gravitate-helen",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"]
  },
  "identifier" : {
    "system" : "https://www.gravitatehealth.eu/sid/doc",
    "value" : "helen-ips-1"
  },
  "type" : "document",
  "timestamp" : "2021-04-18T09:22:00+02:00",
  "entry" : [{
    "fullUrl" : "https://myserver.org/Composition/5702fd1d-dd26-402e-a7c0-7629a5d9bba1",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "gravitate-helen",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_gravitate-helen\"> </a>\n  \n\n    \n      <b>Id:</b>\n      gravitate-helen\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>Helen 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              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              Diabetes type 1\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              Humalog Mix50 Insulin KwikPen, 3ml pre-fill\n\n            </li>\n          \n\n            <li>\n\n              Monuril 3 g granules for oral solution\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/be61951b-44fc-4853-8822-f9d398193c50",
        "display" : "Helen Gravitate"
      },
      "date" : "2018-07-10T15:22:00+02:00",
      "author" : [{
        "reference" : "Practitioner/45cd0bd4-f685-4117-a9f0-5c53fffb7266",
        "display" : "Dr. Anna Karlsson"
      }],
      "title" : "Patient Summary (Helen Gravitate)",
      "confidentiality" : "N",
      "section" : [{
        "title" : "Allergies and Intolerances",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "48765-2",
            "display" : "Allergies and adverse reactions Document"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Hay fever (pollen)</li></ul></div>"
        },
        "entry" : [{
          "reference" : "AllergyIntolerance/cb6e84fa-4302-4569-ac1c-6b1b32507d16",
          "display" : "Lactose Intolerance"
        }]
      },
      {
        "title" : "Problem List",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "11450-4",
            "display" : "Problem list Reported"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Diabetes type 1</li></ul></div>"
        },
        "entry" : [{
          "reference" : "Condition/de06df6b-0967-4b01-822b-7cfeea970aa7",
          "display" : "Diabetes type 1"
        }]
      },
      {
        "title" : "Medication Summary",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "10160-0",
            "display" : "Hx of Medication use"
          }]
        },
        "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>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>"
        },
        "entry" : [{
          "reference" : "MedicationStatement/18eb9898-dea7-4c5e-b097-e507e011747b",
          "display" : "Humalog Mix50 Insulin KwikPen, 3ml pre-fill"
        },
        {
          "reference" : "MedicationStatement/c90b943a-3d8e-4f14-b56d-5c5c208b2065",
          "display" : "Monuril 3 g granules for oral solution"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://myserver.org/Patient/be61951b-44fc-4853-8822-f9d398193c50",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "be61951b-44fc-4853-8822-f9d398193c50",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_be61951b-44fc-4853-8822-f9d398193c50\"> </a>Helen Gravitate, Female, 75 years old (1946-05-05)</div>"
      },
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "urn:iso:std:iso:3166",
              "code" : "GB",
              "display" : "United Kingdom of Great Britain and Northern Ireland"
            }]
          }
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship"
      }],
      "identifier" : [{
        "system" : "https://www.gravitatehealth.eu/sid/doc",
        "value" : "helen-1"
      }],
      "active" : true,
      "name" : [{
        "family" : "Gravitate",
        "given" : ["Helen"]
      }],
      "gender" : "female",
      "birthDate" : "1946-05-05"
    }
  },
  {
    "fullUrl" : "https://myserver.org/Practitioner/45cd0bd4-f685-4117-a9f0-5c53fffb7266",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "45cd0bd4-f685-4117-a9f0-5c53fffb7266",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_45cd0bd4-f685-4117-a9f0-5c53fffb7266\"> </a>Dr. Anne Karlsson</div>"
      },
      "name" : [{
        "family" : "Karlsson",
        "given" : ["Anne"],
        "prefix" : ["Dr."]
      }]
    }
  },
  {
    "fullUrl" : "https://myserver.org/AllergyIntolerance/cb6e84fa-4302-4569-ac1c-6b1b32507d16",
    "resource" : {
      "resourceType" : "AllergyIntolerance",
      "id" : "cb6e84fa-4302-4569-ac1c-6b1b32507d16",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_cb6e84fa-4302-4569-ac1c-6b1b32507d16\"> </a>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"
        }]
      },
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "47703008",
          "display" : "Lactose"
        }]
      },
      "patient" : {
        "reference" : "Patient/be61951b-44fc-4853-8822-f9d398193c50",
        "display" : "Helen Gravitate"
      }
    }
  },
  {
    "fullUrl" : "https://myserver.org/Condition/de06df6b-0967-4b01-822b-7cfeea970aa7",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "de06df6b-0967-4b01-822b-7cfeea970aa7",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_de06df6b-0967-4b01-822b-7cfeea970aa7\"> </a>Diabetes mellitus type 1 (2015)</div>"
      },
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "active"
        }]
      },
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "46635009",
          "display" : "Diabetes mellitus type 1"
        }],
        "text" : "Diabetes type 1"
      },
      "subject" : {
        "reference" : "Patient/be61951b-44fc-4853-8822-f9d398193c50",
        "display" : "Helen Gravitate"
      },
      "onsetDateTime" : "2015",
      "asserter" : {
        "reference" : "Practitioner/45cd0bd4-f685-4117-a9f0-5c53fffb7266",
        "display" : "Dr. Anna Karlsson"
      }
    }
  },
  {
    "fullUrl" : "https://myserver.org/MedicationStatement/18eb9898-dea7-4c5e-b097-e507e011747b",
    "resource" : {
      "resourceType" : "MedicationStatement",
      "id" : "18eb9898-dea7-4c5e-b097-e507e011747b",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_18eb9898-dea7-4c5e-b097-e507e011747b\"> </a><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>"
      },
      "status" : "active",
      "medicationReference" : {
        "reference" : "Medication/9d7be868-8264-4d94-ad04-ef04ecc92e50",
        "display" : "Humalog Mix50 Insulin KwikPen, 3ml pre-fill"
      },
      "subject" : {
        "reference" : "Patient/be61951b-44fc-4853-8822-f9d398193c50",
        "display" : "Helen Gravitate"
      },
      "dosage" : [{
        "route" : {
          "coding" : [{
            "system" : "http://standardterms.edqm.eu",
            "code" : "20066000",
            "display" : "Subcutaneous use"
          }]
        }
      }]
    }
  },
  {
    "fullUrl" : "https://myserver.org/MedicationStatement/c90b943a-3d8e-4f14-b56d-5c5c208b2065",
    "resource" : {
      "resourceType" : "MedicationStatement",
      "id" : "c90b943a-3d8e-4f14-b56d-5c5c208b2065",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_c90b943a-3d8e-4f14-b56d-5c5c208b2065\"> </a><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>"
      },
      "basedOn" : [{
        "reference" : "MedicationRequest/c872135e-f219-4f32-8fd6-7099009abf42"
      }],
      "status" : "active",
      "medicationReference" : {
        "reference" : "Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3",
        "display" : "Monuril 3g granules for oral solution"
      },
      "subject" : {
        "reference" : "Patient/be61951b-44fc-4853-8822-f9d398193c50",
        "display" : "Helen Gravitate"
      },
      "dosage" : [{
        "route" : {
          "coding" : [{
            "system" : "http://standardterms.edqm.eu",
            "code" : "20053000",
            "display" : "Oral use"
          }]
        }
      }]
    }
  },
  {
    "fullUrl" : "https://myserver.org/MedicationRequest/c872135e-f219-4f32-8fd6-7099009abf42",
    "resource" : {
      "resourceType" : "MedicationRequest",
      "id" : "c872135e-f219-4f32-8fd6-7099009abf42",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_c872135e-f219-4f32-8fd6-7099009abf42\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest c872135e-f219-4f32-8fd6-7099009abf42</b></p><a name=\"c872135e-f219-4f32-8fd6-7099009abf42\"> </a><a name=\"hcc872135e-f219-4f32-8fd6-7099009abf42\"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"Bundle-gravitate-helen.html#Medication_fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3\">Monuril</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-helen.html#Patient_be61951b-44fc-4853-8822-f9d398193c50\">Helen Gravitate  Female, DoB: 1946-05-05 ( https://www.gravitatehealth.eu/sid/doc#helen-1)</a></p></div>"
      },
      "status" : "active",
      "intent" : "order",
      "medicationReference" : {
        "reference" : "Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3",
        "display" : "Monuril"
      },
      "subject" : {
        "reference" : "Patient/be61951b-44fc-4853-8822-f9d398193c50"
      }
    }
  },
  {
    "fullUrl" : "https://myserver.org/Medication/9d7be868-8264-4d94-ad04-ef04ecc92e50",
    "resource" : {
      "resourceType" : "Medication",
      "id" : "9d7be868-8264-4d94-ad04-ef04ecc92e50",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_9d7be868-8264-4d94-ad04-ef04ecc92e50\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication 9d7be868-8264-4d94-ad04-ef04ecc92e50</b></p><a name=\"9d7be868-8264-4d94-ad04-ef04ecc92e50\"> </a><a name=\"hc9d7be868-8264-4d94-ad04-ef04ecc92e50\"> </a><p><b>code</b>: <span title=\"Codes:{https://spor.ema.europa.eu/pmswi EU/1/96/007/035}, {https://www.who-umc.org/phpid 0xF79CABF272B6A7EEF104DDDA44E82717}, {http://snomed.info/sct 388454007}, {http://www.whocc.no/atc A10AD04}\">Humalog Mix50 KwikPen 100 U/ml 5 pre-filled pen</span></p><p><b>form</b>: <span title=\"Codes:{http://standardterms.edqm.eu 11202000}\">Suspension for injection</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 GFX7QIS1II}\">insulin lispro</span></td><td>100 units<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeU = 'U')</span>/1 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeml = 'ml')</span></td></tr></table></div>"
      },
      "code" : {
        "coding" : [{
          "system" : "https://spor.ema.europa.eu/pmswi",
          "code" : "EU/1/96/007/035",
          "display" : "Humalog Mix50 KwikPen 100 U/ml 5 pre-filled pen"
        },
        {
          "system" : "https://www.who-umc.org/phpid",
          "code" : "0xF79CABF272B6A7EEF104DDDA44E82717",
          "display" : "Insulin Lispro 100 U/ml 5 pre-filled pen"
        },
        {
          "system" : "http://snomed.info/sct",
          "code" : "388454007",
          "display" : "Product containing insulin lispro (medicinal product)"
        },
        {
          "system" : "http://www.whocc.no/atc",
          "code" : "A10AD04",
          "display" : "insulin lispro"
        }]
      },
      "form" : {
        "coding" : [{
          "system" : "http://standardterms.edqm.eu",
          "code" : "11202000",
          "display" : "Suspension for injection"
        }]
      },
      "ingredient" : [{
        "itemCodeableConcept" : {
          "coding" : [{
            "system" : "http://fdasis.nlm.nih.gov",
            "code" : "GFX7QIS1II",
            "display" : "insulin lispro"
          }],
          "text" : "insulin lispro"
        },
        "strength" : {
          "numerator" : {
            "value" : 100,
            "unit" : "units",
            "system" : "http://unitsofmeasure.org",
            "code" : "U"
          },
          "denominator" : {
            "value" : 1,
            "unit" : "ml",
            "system" : "http://unitsofmeasure.org",
            "code" : "ml"
          }
        }
      }]
    }
  },
  {
    "fullUrl" : "https://myserver.org/Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3",
    "resource" : {
      "resourceType" : "Medication",
      "id" : "fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3</b></p><a name=\"fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3\"> </a><a name=\"hcfdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3\"> </a><p><b>code</b>: <span title=\"Codes:{https://spor.ema.europa.eu/pmswi PL31654/0087}, {https://www.who-umc.org/phpid 0xE857DA811B4A6F3BD57810C45D2EA1RF}, {http://www.whocc.no/atc J01XX01}\">Monuril</span></p><p><b>form</b>: <span title=\"Codes:{http://standardterms.edqm.eu 10112000}\">Granules for oral solution</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 7FXW6U30GY}\">FOSFOMYCIN TROMETAMOL</span></td><td>5.631 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg = 'g')</span>/1 Sachet<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{sachet} = '{sachet}')</span></td></tr></table></div>"
      },
      "code" : {
        "coding" : [{
          "system" : "https://spor.ema.europa.eu/pmswi",
          "code" : "PL31654/0087",
          "display" : "Monuril"
        },
        {
          "system" : "https://www.who-umc.org/phpid",
          "code" : "0xE857DA811B4A6F3BD57810C45D2EA1RF",
          "display" : "Fosfomycin, 3g, Granules for oral solution"
        },
        {
          "system" : "http://www.whocc.no/atc",
          "code" : "J01XX01",
          "display" : "fosfomycin"
        }]
      },
      "form" : {
        "coding" : [{
          "system" : "http://standardterms.edqm.eu",
          "code" : "10112000",
          "display" : "Granules for oral solution"
        }]
      },
      "ingredient" : [{
        "itemCodeableConcept" : {
          "coding" : [{
            "system" : "http://fdasis.nlm.nih.gov",
            "code" : "7FXW6U30GY",
            "display" : "FOSFOMYCIN TROMETHAMINE"
          }],
          "text" : "FOSFOMYCIN TROMETAMOL"
        },
        "strength" : {
          "numerator" : {
            "value" : 5.631,
            "unit" : "g",
            "system" : "http://unitsofmeasure.org",
            "code" : "g"
          },
          "denominator" : {
            "value" : 1,
            "unit" : "Sachet",
            "system" : "http://unitsofmeasure.org",
            "code" : "{sachet}"
          }
        }
      }]
    }
  }]
}

```
