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 4 - JSON Representation

Raw json | Download

    {
      "resourceType" : "Bundle",
      "id" : "gravitate-ips-4",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"
        ]
      },
      "identifier" : {
        "system" : "https://www.gravitatehealth.eu/sid/doc",
        "value" : "ips-4"
      },
      "type" : "document",
      "timestamp" : "2021-09-03T08:38:00+02:00",
      "entry" : [
        {
          "fullUrl" : "https://myserver.org/Composition/2fa5b223-ebce-4f39-9c66-5dc014f73579",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "ips-example-4",
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_ips-example-4\"> </a>\n  \n\n    \n      <b>Id:</b>\n      ips-example-4\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>Example 4 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              Remsima 100 mg powder for concentrate for solution for infusion\n\n            </li>\n          \n\n            <li>\n\n              Irbesartan 75 mg Tablet\n\n            </li>\n          \n\n            <li>\n\n              Pentasa Slow Release Tablets 1g\n\n            </li>\n          \n\n            <li>\n\n              citalopram statement\n\n            </li>\n          \n\n            <li>\n\n              Amlodipine Italy statement\n\n            </li>\n          \n\n            <li>\n\n              Amlodipine Norway statement\n\n            </li>\n          \n        </ul>\n\n      \n        <li>\n\n          Vital Signs\n\n        </li>\n        <ul>\n\n          \n\n            <li>\n\n              Body weight\n\n            </li>\n          \n\n            <li>\n\n              Body height\n\n            </li>\n          \n\n            <li>\n\n              Blood pressure\n\n            </li>\n          \n\n            <li>\n\n              eGFR\n\n            </li>\n          \n\n            <li>\n\n              potassium\n\n            </li>\n          \n        </ul>\n\n      \n        <li>\n\n          Results\n\n        </li>\n        <ul>\n\n          \n\n            <li>\n\n              glucose\n\n            </li>\n          \n        </ul>\n\n      \n        <li>\n\n          Pregnancy History\n\n        </li>\n        <ul>\n\n          \n\n            <li>\n\n              Pregrancy Status\n\n            </li>\n          \n        </ul>\n\n      \n        <li>\n\n          Social History\n\n        </li>\n        <ul>\n\n          \n\n            <li>\n\n              Physical Activity\n\n            </li>\n          \n\n            <li>\n\n              Health Literacy\n\n            </li>\n          \n\n            <li>\n\n              Digital Literacy\n\n            </li>\n          \n\n            <li>\n\n              EQ-5D-5L\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-e7f4bf915dd2",
              "display" : "Example 4 Gravitate"
            },
            "date" : "2018-07-10T15:22:00+02:00",
            "author" : [
              {
                "reference" : "Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d2",
                "display" : "Dr. Anna Karlsson"
              }
            ],
            "title" : "Patient Summary (IPS Example 4 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-dbb23094bf02",
                    "display" : "Hay fever (pollen)"
                  },
                  {
                    "reference" : "AllergyIntolerance/9d18cddb-8e58-4fbb-82ec-09cc561ac802",
                    "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-f3f9af49ec52",
                    "display" : "Psoriasis"
                  },
                  {
                    "reference" : "Condition/f06b7cf8-c15c-4288-a0f9-45a1026e5132",
                    "display" : "Hypertension"
                  },
                  {
                    "reference" : "Condition/a4a9d90a-d1b0-4d60-82f0-c52343dc6252",
                    "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-feed2399a892",
                    "display" : "Remsima 100 mg powder for concentrate for solution for infusion"
                  },
                  {
                    "reference" : "MedicationStatement/f6cb1218-f81c-4338-80d8-3c10910f78f2",
                    "display" : "Irbesartan 75 mg Tablet"
                  },
                  {
                    "reference" : "MedicationStatement/f26084c9-b1c8-46d9-acb2-1d400ade87b2",
                    "display" : "Pentasa Slow Release Tablets 1g"
                  },
                  {
                    "reference" : "MedicationStatement/citalopram-statement",
                    "display" : "citalopram statement"
                  },
                  {
                    "reference" : "MedicationStatement/amlo-italy-statement",
                    "display" : "Amlodipine Italy statement"
                  },
                  {
                    "reference" : "MedicationStatement/amlo-norway-statement",
                    "display" : "Amlodipine Norway statement"
                  }
                ]
              },
              {
                "title" : "Vital Signs",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "8716-3",
                      "display" : "Vital Signs"
                    }
                  ]
                },
                "entry" : [
                  {
                    "reference" : "Observation/bw",
                    "display" : "Body weight"
                  },
                  {
                    "reference" : "Observation/bh",
                    "display" : "Body height"
                  },
                  {
                    "reference" : "Observation/ips4-bp",
                    "display" : "Blood pressure"
                  },
                  {
                    "reference" : "Observation/egfr",
                    "display" : "eGFR"
                  },
                  {
                    "reference" : "Observation/potassium",
                    "display" : "potassium"
                  }
                ]
              },
              {
                "title" : "Results",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "30954-2",
                      "display" : "Relevant diagnostic tests/laboratory data Narrative"
                    }
                  ]
                },
                "entry" : [
                  {
                    "reference" : "Observation/glucose",
                    "display" : "glucose"
                  }
                ]
              },
              {
                "title" : "Pregnancy History",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "10162-6",
                      "display" : "Pregnancies Hx"
                    }
                  ]
                },
                "entry" : [
                  {
                    "reference" : "Observation/e06e43a1-38d4-468f-8c35-f7f12da91062",
                    "display" : "Pregrancy Status"
                  }
                ]
              },
              {
                "title" : "Social History",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "29762-2",
                      "display" : "Social History"
                    }
                  ]
                },
                "entry" : [
                  {
                    "reference" : "Observation/physical-activity",
                    "display" : "Physical Activity"
                  },
                  {
                    "reference" : "Observation/Obs-Health-Literacy-YesNo",
                    "display" : "Health Literacy"
                  },
                  {
                    "reference" : "Observation/Obs-Digital-Literacy-Scale",
                    "display" : "Digital Literacy"
                  },
                  {
                    "reference" : "QuestionnaireResponse/QR-EQ5D-5L-Example",
                    "display" : "EQ-5D-5L"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "c154158f-6a43-4ab7-8443-e7f4bf915dd2",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient c154158f-6a43-4ab7-8443-e7f4bf915dd2</b></p><a name=\"c154158f-6a43-4ab7-8443-e7f4bf915dd2\"> </a><a name=\"hcc154158f-6a43-4ab7-8443-e7f4bf915dd2\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">IPS 4 example Gravitate  Female, DoB: 1989-05-05 ( https://www.gravitatehealth.eu/sid/doc#ips-4)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\"><code>keycloak-id</code>/370887cf-f2c5-4e07-971a-827397d4ea45</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The patient's legal status as citizen of a country.\">Patient Citizenship:</td><td colspan=\"3\"><ul><li>code: <span title=\"Codes:{urn:iso:std:iso:3166 NO}\">Norway</span></li></ul></td></tr></table></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"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/individual-occupation",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://www.ilo.org/public/english/bureau/stat/isco",
                      "code" : "3421",
                      "display" : "Athletes and sports players"
                    }
                  ]
                }
              }
            ],
            "identifier" : [
              {
                "system" : "https://www.gravitatehealth.eu/sid/doc",
                "value" : "ips-4"
              },
              {
                "system" : "keycloak-id",
                "value" : "370887cf-f2c5-4e07-971a-827397d4ea45"
              }
            ],
            "active" : true,
            "name" : [
              {
                "family" : "Gravitate",
                "given" : [
                  "IPS 4 example"
                ]
              }
            ],
            "gender" : "female",
            "birthDate" : "1989-05-05"
          }
        },
        {
          "fullUrl" : "https://myserver.org/Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d2",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "1ece89c5-fda3-4db9-ace6-decbe6c603d2",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_1ece89c5-fda3-4db9-ace6-decbe6c603d2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 1ece89c5-fda3-4db9-ace6-decbe6c603d2</b></p><a name=\"1ece89c5-fda3-4db9-ace6-decbe6c603d2\"> </a><a name=\"hc1ece89c5-fda3-4db9-ace6-decbe6c603d2\"> </a><p><b>name</b>: Anne Karlsson </p></div>"
            },
            "name" : [
              {
                "family" : "Karlsson",
                "given" : [
                  "Anne"
                ],
                "prefix" : [
                  "Dr."
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/AllergyIntolerance/1dff4474-fa08-4f45-8260-dbb23094bf02",
          "resource" : {
            "resourceType" : "AllergyIntolerance",
            "id" : "1dff4474-fa08-4f45-8260-dbb23094bf02",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_1dff4474-fa08-4f45-8260-dbb23094bf02\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance 1dff4474-fa08-4f45-8260-dbb23094bf02</b></p><a name=\"1dff4474-fa08-4f45-8260-dbb23094bf02\"> </a><a name=\"hc1dff4474-fa08-4f45-8260-dbb23094bf02\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">Confirmed</span></p><p><b>type</b>: Allergy</p><p><b>category</b>: Environment</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 256259004}\">Pollen</span></p><p><b>patient</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><h3>Reactions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Manifestation</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 21719001}\">Hay fever</span></td></tr></table></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" : "allergy",
            "category" : [
              "environment"
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "256259004",
                  "display" : "Pollen"
                }
              ]
            },
            "patient" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "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-09cc561ac802",
          "resource" : {
            "resourceType" : "AllergyIntolerance",
            "id" : "9d18cddb-8e58-4fbb-82ec-09cc561ac802",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_9d18cddb-8e58-4fbb-82ec-09cc561ac802\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance 9d18cddb-8e58-4fbb-82ec-09cc561ac802</b></p><a name=\"9d18cddb-8e58-4fbb-82ec-09cc561ac802\"> </a><a name=\"hc9d18cddb-8e58-4fbb-82ec-09cc561ac802\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">Confirmed</span></p><p><b>type</b>: Intolerance</p><p><b>category</b>: Food</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 782415009}\">Intolerance to lactose</span></p><p><b>patient</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><p><b>onset</b>: 1 year<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codea = 'a')</span></p><p><b>recordedDate</b>: 2009-10-09</p><blockquote><p><b>reaction</b></p><p><b>substance</b>: <span title=\"Codes:{http://snomed.info/sct 47703008}\">lactose</span></p><p><b>manifestation</b>: <span title=\"Codes:{http://snomed.info/sct 21522001}\">Abdominal pain</span>, <span title=\"Codes:{http://snomed.info/sct 116289008}\">Abdominal bloating</span>, <span title=\"Codes:{http://snomed.info/sct 62315008}\">Diarrhea</span></p></blockquote></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-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "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-f3f9af49ec52",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "bcc79261-142c-48ec-b032-f3f9af49ec52",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_bcc79261-142c-48ec-b032-f3f9af49ec52\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition bcc79261-142c-48ec-b032-f3f9af49ec52</b></p><a name=\"bcc79261-142c-48ec-b032-f3f9af49ec52\"> </a><a name=\"hcbcc79261-142c-48ec-b032-f3f9af49ec52\"> </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-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><p><b>asserter</b>: <a href=\"Bundle-gravitate-ips-4.html#Practitioner_1ece89c5-fda3-4db9-ace6-decbe6c603d2\">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-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "asserter" : {
              "reference" : "Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d2",
              "display" : "Dr. Anna Karlsson"
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Condition/a4a9d90a-d1b0-4d60-82f0-c52343dc6252",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "a4a9d90a-d1b0-4d60-82f0-c52343dc6252",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_a4a9d90a-d1b0-4d60-82f0-c52343dc6252\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition a4a9d90a-d1b0-4d60-82f0-c52343dc6252</b></p><a name=\"a4a9d90a-d1b0-4d60-82f0-c52343dc6252\"> </a><a name=\"hca4a9d90a-d1b0-4d60-82f0-c52343dc6252\"> </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 42343007}\">Congestive heart failure</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><p><b>onset</b>: 2015</p><p><b>asserter</b>: <a href=\"Bundle-gravitate-ips-4.html#Practitioner_1ece89c5-fda3-4db9-ace6-decbe6c603d2\">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" : "42343007",
                  "display" : "Congestive heart failure"
                }
              ],
              "text" : "Congestive heart failure"
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "onsetDateTime" : "2015",
            "asserter" : {
              "reference" : "Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d2",
              "display" : "Dr. Anna Karlsson"
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Condition/f06b7cf8-c15c-4288-a0f9-45a1026e5132",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "f06b7cf8-c15c-4288-a0f9-45a1026e5132",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_f06b7cf8-c15c-4288-a0f9-45a1026e5132\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition f06b7cf8-c15c-4288-a0f9-45a1026e5132</b></p><a name=\"f06b7cf8-c15c-4288-a0f9-45a1026e5132\"> </a><a name=\"hcf06b7cf8-c15c-4288-a0f9-45a1026e5132\"> </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-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 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-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "onsetDateTime" : "1993"
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/29074ca4-efcb-4ff4-8446-feed2399a892",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "29074ca4-efcb-4ff4-8446-feed2399a892",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_29074ca4-efcb-4ff4-8446-feed2399a892\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement 29074ca4-efcb-4ff4-8446-feed2399a892</b></p><a name=\"29074ca4-efcb-4ff4-8446-feed2399a892\"> </a><a name=\"hc29074ca4-efcb-4ff4-8446-feed2399a892\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-ips-4.html#Medication_b50ae644-e0b7-4007-809f-26f493cbe362\">Remsima 100 mg powder for concentrate for solution for infusion</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 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 20045000}\">Intravenous use</span></td></tr></table></div>"
            },
            "status" : "active",
            "medicationReference" : {
              "reference" : "Medication/b50ae644-e0b7-4007-809f-26f493cbe362",
              "display" : "Remsima 100 mg powder for concentrate for solution for infusion"
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20045000",
                      "display" : "Intravenous use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/f6cb1218-f81c-4338-80d8-3c10910f78f2",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "f6cb1218-f81c-4338-80d8-3c10910f78f2",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_f6cb1218-f81c-4338-80d8-3c10910f78f2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement f6cb1218-f81c-4338-80d8-3c10910f78f2</b></p><a name=\"f6cb1218-f81c-4338-80d8-3c10910f78f2\"> </a><a name=\"hcf6cb1218-f81c-4338-80d8-3c10910f78f2\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-ips-4.html#Medication_de131e15-ed13-4b31-b38c-3204a84d99c2\">Karvea 75 mg Tablet</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 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-3204a84d99c2",
              "display" : "Karvea 75 mg Tablet"
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20053000",
                      "display" : "Oral use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/f26084c9-b1c8-46d9-acb2-1d400ade87b2",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "f26084c9-b1c8-46d9-acb2-1d400ade87b2",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_f26084c9-b1c8-46d9-acb2-1d400ade87b2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement f26084c9-b1c8-46d9-acb2-1d400ade87b2</b></p><a name=\"f26084c9-b1c8-46d9-acb2-1d400ade87b2\"> </a><a name=\"hcf26084c9-b1c8-46d9-acb2-1d400ade87b2\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-ips-4.html#Medication_9ac3356c-4ea4-4814-84c3-235484f2ef12\">Humalog 100 U/ml 5 pre-filled pen</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 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 20066000}\">Subcutaneous use</span></td></tr></table></div>"
            },
            "status" : "active",
            "medicationReference" : {
              "reference" : "Medication/9ac3356c-4ea4-4814-84c3-235484f2ef12",
              "display" : "Humalog 100 U/ml 5 pre-filled pen"
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20066000",
                      "display" : "Subcutaneous use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/citalopram-statement",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "citalopram-statement",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_citalopram-statement\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement citalopram-statement</b></p><a name=\"citalopram-statement\"> </a><a name=\"hccitalopram-statement\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-ips-4.html#Medication_citalopram\">citalopram</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 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 20066000}\">Subcutaneous use</span></td></tr></table></div>"
            },
            "status" : "active",
            "medicationReference" : {
              "reference" : "Medication/citalopram",
              "display" : "citalopram"
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20066000",
                      "display" : "Subcutaneous use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/amlo-italy-statement",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "amlo-italy-statement",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_amlo-italy-statement\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement amlo-italy-statement</b></p><a name=\"amlo-italy-statement\"> </a><a name=\"hcamlo-italy-statement\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-ips-4.html#Medication_amlo-italy\">Amlodipine Italy</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 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/amlo-italy",
              "display" : "Amlodipine Italy"
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20053000",
                      "display" : "Oral use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/amlo-norway-statement",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "amlo-norway-statement",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_amlo-norway-statement\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement amlo-norway-statement</b></p><a name=\"amlo-norway-statement\"> </a><a name=\"hcamlo-norway-statement\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-ips-4.html#Medication_amlo-norway\">Amlodipine Norway</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 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/amlo-norway",
              "display" : "Amlodipine Norway"
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20053000",
                      "display" : "Oral use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Medication/b50ae644-e0b7-4007-809f-26f493cbe362",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "b50ae644-e0b7-4007-809f-26f493cbe362",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_b50ae644-e0b7-4007-809f-26f493cbe362\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication b50ae644-e0b7-4007-809f-26f493cbe362</b></p><a name=\"b50ae644-e0b7-4007-809f-26f493cbe362\"> </a><a name=\"hcb50ae644-e0b7-4007-809f-26f493cbe362\"> </a><p><b>code</b>: <span title=\"Codes:{https://spor.ema.europa.eu/pmswi EU/1/13/853/001}, {https://www.who-umc.org/phpid 0xF79CABF272B6A7EEF104DDDA44E82718}\">Remsima 100 mg powder for concentrate for solution for infusion</span></p><p><b>form</b>: <span title=\"Codes:{http://standardterms.edqm.eu 50049250}\">Powder for concentrate for solution for injection/infusion</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 B72HH48FLU}\">INFLIXIMAB</span></td><td>100 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span>/1 Vial<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{vial} = '{vial}')</span></td></tr></table></div>"
            },
            "code" : {
              "coding" : [
                {
                  "system" : "https://spor.ema.europa.eu/pmswi",
                  "code" : "EU/1/13/853/001",
                  "display" : "Remsima 100 mg powder for concentrate for solution for infusion"
                },
                {
                  "system" : "https://www.who-umc.org/phpid",
                  "code" : "0xF79CABF272B6A7EEF104DDDA44E82718",
                  "display" : "Infliximab 100 mg powder for concentrate for solution for infusion"
                }
              ]
            },
            "form" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "50049250",
                  "display" : "Powder for concentrate for solution for injection/infusion"
                }
              ]
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fdasis.nlm.nih.gov",
                      "code" : "B72HH48FLU",
                      "display" : "INFLIXIMAB"
                    }
                  ],
                  "text" : "INFLIXIMAB"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 100,
                    "unit" : "mg",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "Vial",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "{vial}"
                  }
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Medication/de131e15-ed13-4b31-b38c-3204a84d99c2",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "de131e15-ed13-4b31-b38c-3204a84d99c2",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_de131e15-ed13-4b31-b38c-3204a84d99c2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication de131e15-ed13-4b31-b38c-3204a84d99c2</b></p><a name=\"de131e15-ed13-4b31-b38c-3204a84d99c2\"> </a><a name=\"hcde131e15-ed13-4b31-b38c-3204a84d99c2\"> </a><p><b>code</b>: <span title=\"Codes:{https://spor.ema.europa.eu/pmswi EU/1/97/049/001}, {https://www.who-umc.org/phpid 0xF79CABF272B6A7EEF104DDDA44E82719}, {http://www.whocc.no/atc C09DA04}\">Karvea 75 mg/ 1 tablet, Tablet</span></p><p><b>form</b>: <span title=\"Codes:{http://standardterms.edqm.eu 10219000}\">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 J0E2756Z7N}\">irbesartan</span></td><td>75 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>"
            },
            "code" : {
              "coding" : [
                {
                  "system" : "https://spor.ema.europa.eu/pmswi",
                  "code" : "EU/1/97/049/001",
                  "display" : "Karvea 75 mg/ 1 tablet, Tablet"
                },
                {
                  "system" : "https://www.who-umc.org/phpid",
                  "code" : "0xF79CABF272B6A7EEF104DDDA44E82719",
                  "display" : "Irbesartan, 75 mg/ 1 tablet, Tablet"
                },
                {
                  "system" : "http://www.whocc.no/atc",
                  "code" : "C09DA04",
                  "display" : "irbesartan and diuretics"
                }
              ]
            },
            "form" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "10219000",
                  "display" : "Tablet"
                }
              ]
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fdasis.nlm.nih.gov",
                      "code" : "J0E2756Z7N",
                      "display" : "irbesartan"
                    }
                  ],
                  "text" : "irbesartan"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 75,
                    "unit" : "mg",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "Tablet",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "{tablet}"
                  }
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Medication/9ac3356c-4ea4-4814-84c3-235484f2ef12",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "9ac3356c-4ea4-4814-84c3-235484f2ef12",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_9ac3356c-4ea4-4814-84c3-235484f2ef12\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication 9ac3356c-4ea4-4814-84c3-235484f2ef12</b></p><a name=\"9ac3356c-4ea4-4814-84c3-235484f2ef12\"> </a><a name=\"hc9ac3356c-4ea4-4814-84c3-235484f2ef12\"> </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}\">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 U<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"
                }
              ]
            },
            "form" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "11202000",
                  "display" : "Suspension for injection"
                }
              ],
              "text" : "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" : "U",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "U"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "ml",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "ml"
                  }
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Medication/citalopram",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "citalopram",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_citalopram\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication citalopram</b></p><a name=\"citalopram\"> </a><a name=\"hccitalopram\"> </a><p><b>code</b>: <span title=\"Codes:{https://spor.ema.europa.eu/pmswi 204447}\">Citalopram Aurovitas 10 mg\ttablet</span></p></div>"
            },
            "code" : {
              "coding" : [
                {
                  "system" : "https://spor.ema.europa.eu/pmswi",
                  "code" : "204447",
                  "display" : "Citalopram Aurovitas 10 mg\ttablet"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Medication/amlo-italy",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "amlo-italy",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_amlo-italy\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication amlo-italy</b></p><a name=\"amlo-italy\"> </a><a name=\"hcamlo-italy\"> </a><p><b>code</b>: <span title=\"Codes:{https://spor.ema.europa.eu/pmswi AMLODIPINA-DOC-GENERICI-tablet-10mg--71-ITA-MPD}\">AMLODIPINA DOC GENERICI compresse 10 mg</span></p></div>"
            },
            "code" : {
              "coding" : [
                {
                  "system" : "https://spor.ema.europa.eu/pmswi",
                  "code" : "AMLODIPINA-DOC-GENERICI-tablet-10mg--71-ITA-MPD",
                  "display" : "AMLODIPINA DOC GENERICI compresse 10 mg"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Medication/amlo-norway",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "amlo-norway",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_amlo-norway\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication amlo-norway</b></p><a name=\"amlo-norway\"> </a><a name=\"hcamlo-norway\"> </a><p><b>code</b>: <span title=\"Codes:{https://spor.ema.europa.eu/pmswi AMLODIPINA-SANDOZ-tablet-10mg--3-NO-MPD}\">Amlodipin sandoz 10 mg TABLETTER</span></p></div>"
            },
            "code" : {
              "coding" : [
                {
                  "system" : "https://spor.ema.europa.eu/pmswi",
                  "code" : "AMLODIPINA-SANDOZ-tablet-10mg--3-NO-MPD",
                  "display" : "Amlodipin sandoz 10 mg TABLETTER"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Observation/e06e43a1-38d4-468f-8c35-f7f12da91062",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "e06e43a1-38d4-468f-8c35-f7f12da91062",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_e06e43a1-38d4-468f-8c35-f7f12da91062\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation e06e43a1-38d4-468f-8c35-f7f12da91062</b></p><a name=\"e06e43a1-38d4-468f-8c35-f7f12da91062\"> </a><a name=\"hce06e43a1-38d4-468f-8c35-f7f12da91062\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 82810-3}\">Pregnancy status</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><p><b>effective</b>: 2020-01-10</p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA15173-0}\">Pregnant</span></p></div>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "82810-3",
                  "display" : "Pregnancy status"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "effectiveDateTime" : "2020-01-10",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA15173-0",
                  "display" : "Pregnant"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Observation/bw",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "bw",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_bw\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation bw</b></p><a name=\"bw\"> </a><a name=\"hcbw\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Body weight</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><p><b>effective</b>: 2009-10-09</p><p><b>value</b>: 70 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg = 'kg')</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "29463-7",
                  "display" : "Body weight"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "effectiveDateTime" : "2009-10-09",
            "valueQuantity" : {
              "value" : 70,
              "system" : "http://unitsofmeasure.org",
              "code" : "kg"
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Observation/bh",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "bh",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_bh\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation bh</b></p><a name=\"bh\"> </a><a name=\"hcbh\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8302-2}\">Body height</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><p><b>effective</b>: 2009-10-09</p><p><b>value</b>: 170 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codecm = 'cm')</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "8302-2",
                  "display" : "Body height"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "effectiveDateTime" : "2009-10-09",
            "valueQuantity" : {
              "value" : 170,
              "system" : "http://unitsofmeasure.org",
              "code" : "cm"
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Observation/ips4-bp",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "ips4-bp",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ips4-bp\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ips4-bp</b></p><a name=\"ips4-bp\"> </a><a name=\"hcips4-bp\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85354-9}\">Blood pressure panel with all children optional</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><p><b>effective</b>: 2009-10-09</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 80 mm[Hg]<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Systolic blood pressure</span></p><p><b>value</b>: 120 mm[Hg]<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "85354-9",
                  "display" : "Blood pressure panel with all children optional"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "effectiveDateTime" : "2009-10-09",
            "component" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "8462-4",
                      "display" : "Diastolic blood pressure"
                    }
                  ]
                },
                "valueQuantity" : {
                  "value" : 80,
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mm[Hg]"
                }
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "8480-6",
                      "display" : "Systolic blood pressure"
                    }
                  ]
                },
                "valueQuantity" : {
                  "value" : 120,
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mm[Hg]"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Observation/glucose",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "glucose",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_glucose\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation glucose</b></p><a name=\"glucose\"> </a><a name=\"hcglucose\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 15074-8}\">Glucose [Moles/volume] in Blood</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><p><b>effective</b>: 2013-04-02 09:30:10+0100</p><p><b>value</b>: 6.3 mmol/l<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>3.1 mmol/l<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>6.2 mmol/l<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td></tr></table></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "15074-8",
                  "display" : "Glucose [Moles/volume] in Blood"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "effectiveDateTime" : "2013-04-02T09:30:10+01:00",
            "valueQuantity" : {
              "value" : 6.3,
              "unit" : "mmol/l",
              "system" : "http://unitsofmeasure.org",
              "code" : "mmol/L"
            },
            "interpretation" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                    "code" : "H",
                    "display" : "High"
                  }
                ]
              }
            ],
            "referenceRange" : [
              {
                "low" : {
                  "value" : 3.1,
                  "unit" : "mmol/l",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mmol/L"
                },
                "high" : {
                  "value" : 6.2,
                  "unit" : "mmol/l",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mmol/L"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Observation/egfr",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "egfr",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_egfr\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation egfr</b></p><a name=\"egfr\"> </a><a name=\"hcegfr\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 48643-1}\">Glomerular filtration rate [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)/1.73 sq M among black population</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><p><b>effective</b>: 2013-04-02 09:30:10+0100</p><p><b>value</b>: 29 mL/min/1.73m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL/min/1.73m2 = 'mL/min/1.73m2')</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48643-1",
                  "display" : "Glomerular filtration rate [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)/1.73 sq M among black population"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "effectiveDateTime" : "2013-04-02T09:30:10+01:00",
            "valueQuantity" : {
              "value" : 29,
              "unit" : "mL/min/1.73m2",
              "system" : "http://unitsofmeasure.org",
              "code" : "mL/min/1.73m2"
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Observation/potassium",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "potassium",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_potassium\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation potassium</b></p><a name=\"potassium\"> </a><a name=\"hcpotassium\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 6298-4}\">Potassium [Moles/volume] in Blood</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><p><b>effective</b>: 2013-04-02 09:30:10+0100</p><p><b>value</b>: 2.5 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "6298-4",
                  "display" : "Potassium [Moles/volume] in Blood"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "effectiveDateTime" : "2013-04-02T09:30:10+01:00",
            "valueQuantity" : {
              "value" : 2.5,
              "unit" : "mmol/L",
              "system" : "http://unitsofmeasure.org",
              "code" : "mmol/L"
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Observation/QR-EQ5D-5L-Example",
          "resource" : {
            "resourceType" : "QuestionnaireResponse",
            "id" : "QR-EQ5D-5L-Example",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"QuestionnaireResponse_QR-EQ5D-5L-Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: QuestionnaireResponse QR-EQ5D-5L-Example</b></p><a name=\"QR-EQ5D-5L-Example\"> </a><a name=\"hcQR-EQ5D-5L-Example\"> </a><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Definition</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Answer</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireResponseRoot\" class=\"hierarchy\"/> QR-EQ5D-5L-Example</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire:<a href=\"Questionnaire-Questionnaire-EQ5D-5L.html\">EQ-5D-5L</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> d1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span><a href=\"CodeSystem-eq5d-levels-cs.html#eq5d-levels-cs-2\">EQ-5D-5L Levels: 2</a> (Slight problems)</span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> d2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span><a href=\"CodeSystem-eq5d-levels-cs.html#eq5d-levels-cs-1\">EQ-5D-5L Levels: 1</a> (No problems)</span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> d3</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span><a href=\"CodeSystem-eq5d-levels-cs.html#eq5d-levels-cs-3\">EQ-5D-5L Levels: 3</a> (Moderate problems)</span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> d4</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span><a href=\"CodeSystem-eq5d-levels-cs.html#eq5d-levels-cs-2\">EQ-5D-5L Levels: 2</a> (Slight problems)</span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> d5</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span><a href=\"CodeSystem-eq5d-levels-cs.html#eq5d-levels-cs-1\">EQ-5D-5L Levels: 1</a> (No problems)</span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> vas</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">78</td></tr>\r\n<tr><td colspan=\"4\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
            },
            "questionnaire" : "http://hl7.eu/fhir/ig/gravitate-health-ips/Questionnaire/Questionnaire-EQ5D-5L",
            "status" : "completed",
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "authored" : "2025-10-08T10:35:00Z",
            "item" : [
              {
                "linkId" : "d1",
                "answer" : [
                  {
                    "valueCoding" : {
                      "system" : "http://hl7.eu/fhir/ig/gravitate-health-ips/CodeSystem/eq5d-levels-cs",
                      "code" : "2",
                      "display" : "Slight problems"
                    }
                  }
                ]
              },
              {
                "linkId" : "d2",
                "answer" : [
                  {
                    "valueCoding" : {
                      "system" : "http://hl7.eu/fhir/ig/gravitate-health-ips/CodeSystem/eq5d-levels-cs",
                      "code" : "1",
                      "display" : "No problems"
                    }
                  }
                ]
              },
              {
                "linkId" : "d3",
                "answer" : [
                  {
                    "valueCoding" : {
                      "system" : "http://hl7.eu/fhir/ig/gravitate-health-ips/CodeSystem/eq5d-levels-cs",
                      "code" : "3",
                      "display" : "Moderate problems"
                    }
                  }
                ]
              },
              {
                "linkId" : "d4",
                "answer" : [
                  {
                    "valueCoding" : {
                      "system" : "http://hl7.eu/fhir/ig/gravitate-health-ips/CodeSystem/eq5d-levels-cs",
                      "code" : "2",
                      "display" : "Slight problems"
                    }
                  }
                ]
              },
              {
                "linkId" : "d5",
                "answer" : [
                  {
                    "valueCoding" : {
                      "system" : "http://hl7.eu/fhir/ig/gravitate-health-ips/CodeSystem/eq5d-levels-cs",
                      "code" : "1",
                      "display" : "No problems"
                    }
                  }
                ]
              },
              {
                "linkId" : "vas",
                "answer" : [
                  {
                    "valueInteger" : 78
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Observation/Obs-Health-Literacy-YesNo",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "Obs-Health-Literacy-YesNo",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Obs-Health-Literacy-YesNo\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Obs-Health-Literacy-YesNo</b></p><a name=\"Obs-Health-Literacy-YesNo\"> </a><a name=\"hcObs-Health-Literacy-YesNo\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/CodeSystem/literacy health-literacy}\">Health literacy (self-reported)</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><p><b>effective</b>: 2025-10-08</p><p><b>value</b>: <span title=\"Codes:{http://example.org/fhir/CodeSystem/literacy yes}\">Yes</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "social-history"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://example.org/fhir/CodeSystem/literacy",
                  "code" : "health-literacy",
                  "display" : "Health literacy (self-reported)"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "effectiveDateTime" : "2025-10-08",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://example.org/fhir/CodeSystem/literacy",
                  "code" : "yes",
                  "display" : "Yes"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Observation/Obs-Digital-Literacy-Scale",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "Obs-Digital-Literacy-Scale",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_Obs-Digital-Literacy-Scale\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation Obs-Digital-Literacy-Scale</b></p><a name=\"Obs-Digital-Literacy-Scale\"> </a><a name=\"hcObs-Digital-Literacy-Scale\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/CodeSystem/literacy digital-literacy}\">Digital literacy (self-reported)</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><p><b>effective</b>: 2025-10-08</p><p><b>value</b>: 2</p><p><b>interpretation</b>: <span title=\"Codes:{http://example.org/fhir/CodeSystem/literacy medium}\">Medium</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "social-history"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://example.org/fhir/CodeSystem/literacy",
                  "code" : "digital-literacy",
                  "display" : "Digital literacy (self-reported)"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "effectiveDateTime" : "2025-10-08",
            "valueInteger" : 2,
            "interpretation" : [
              {
                "coding" : [
                  {
                    "system" : "http://example.org/fhir/CodeSystem/literacy",
                    "code" : "medium",
                    "display" : "Medium"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Observation/physical-activity",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "physical-activity",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_physical-activity\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation physical-activity</b></p><a name=\"physical-activity\"> </a><a name=\"hcphysical-activity\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category activity}\">Activity</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 89555-7}\">Physical activity level</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-ips-4.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd2\">IPS 4 Gravitate</a></p><p><b>effective</b>: 2013-04-02 09:30:10+0100</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 228400000}\">Moderately active physical exercise level</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "activity",
                    "display" : "Activity"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "89555-7",
                  "display" : "Physical activity level"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd2",
              "display" : "IPS 4 Gravitate"
            },
            "effectiveDateTime" : "2013-04-02T09:30:10+01:00",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "228400000",
                  "display" : "Moderately active physical exercise level"
                }
              ]
            }
          }
        }
      ]
    }