Gravitate Health FHIR Implementation Guide (FHIR R4)
0.1.0 - CI Build

Gravitate Health FHIR Implementation Guide (FHIR R4), published by . This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/gravitate-health-ips/ and changes regularly. See the Directory of published versions

## : IPS Example 1 - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="gravitate-ips-1"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"/>
      </meta>
      <identifier>
        <system value="https://www.gravitatehealth.eu/sid/doc"/>
        <value value="ips-1"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2021-09-03T08:38:00+02:00"/>
      <entry>
        <fullUrl
                 value="https://myserver.org/Composition/2fa5b223-ebce-4f39-9c66-5dc014f73575"/>
        <resource>
          <Composition>
            <id value="ips-example-1"/>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_ips-example-1"> </a>

          <b>Id:</b>
          ips-example-1
        <br/>

          <b>status:</b>
          Final
        <br/>

          <b>Type:</b>
          Patient summary Document
        <br/>

          <b>Subject:</b>
          <a>Maria Gravitate</a>

        <br/>
        <b>Sections:</b>
        <br/>

        <ul>

            <li>

              Allergies and Intolerances

            </li>
            <ul>

                <li>

                  Hay fever (pollen)

                </li>

                <li>

                  Lactose Intolerance

                </li>

            </ul>

            <li>

              Problem List

            </li>
            <ul>

                <li>

                  Psoriasis

                </li>

                <li>

                  Hypertension

                </li>

                <li>

                  Congestive heart failure

                </li>

            </ul>

            <li>

              Medication Summary

            </li>
            <ul>

                <li>

                  Dimethyl fumarate 30 mg Gastro-resistant tablet

                </li>

                <li>

                  Irbesartan 75 mg Tablet

                </li>

                <li>

                  Oxymetazoline hydrochloride  0.05 mg / 1 ml Spray

                </li>

            </ul>

        </ul>

    </div>
            </text>
            <status value="final"/>
            <type>
              <coding>
                <system value="http://loinc.org"/>
                <code value="60591-5"/>
                <display value="Patient summary Document"/>
              </coding>
            </type>
            <subject>
              <reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
              <display value="Maria Gravitate"/>
            </subject>
            <date value="2018-07-10T15:22:00+02:00"/>
            <author>
              <reference
                         value="Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d5"/>
              <display value="Dr. Anna Karlsson"/>
            </author>
            <title value="Patient Summary (Maria Gravitate)"/>
            <confidentiality value="N"/>
            <section>
              <title value="Allergies and Intolerances"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="48765-2"/>
                  <display value="Allergies and adverse reactions Document"/>
                </coding>
              </code>
              <entry>
                <reference
                           value="AllergyIntolerance/1dff4474-fa08-4f45-8260-dbb23094bf05"/>
                <display value="Hay fever (pollen)"/>
              </entry>
              <entry>
                <reference
                           value="AllergyIntolerance/9d18cddb-8e58-4fbb-82ec-09cc561ac805"/>
                <display value="Lactose Intolerance"/>
              </entry>
            </section>
            <section>
              <title value="Problem List"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11450-4"/>
                  <display value="Problem list Reported"/>
                </coding>
              </code>
              <entry>
                <reference
                           value="Condition/bcc79261-142c-48ec-b032-f3f9af49ec55"/>
                <display value="Psoriasis"/>
              </entry>
              <entry>
                <reference
                           value="Condition/f06b7cf8-c15c-4288-a0f9-45a1026e5135"/>
                <display value="Hypertension"/>
              </entry>
              <entry>
                <reference
                           value="Condition/a4a9d90a-d1b0-4d60-82f0-c52343dc6255"/>
                <display value="Congestive heart failure"/>
              </entry>
            </section>
            <section>
              <title value="Medication Summary"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="10160-0"/>
                  <display value="Hx of Medication use"/>
                </coding>
              </code>
              <entry>
                <reference
                           value="MedicationStatement/29074ca4-efcb-4ff4-8446-feed2399a895"/>
                <display value="Dimethyl fumarate 30 mg Gastro-resistant tablet"/>
              </entry>
              <entry>
                <reference
                           value="MedicationStatement/f6cb1218-f81c-4338-80d8-3c10910f78f5"/>
                <display value="Irbesartan 75 mg Tablet"/>
              </entry>
              <entry>
                <reference
                           value="MedicationStatement/f26084c9-b1c8-46d9-acb2-1d400ade87b5"/>
                <display
                         value="Oxymetazoline hydrochloride  0.05 mg / 1 ml Spray"/>
              </entry>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
        <resource>
          <Patient>
            <id value="c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd6"> </a>Maria Gravitate, Female, 75 years old (1946-05-05)</div>
            </text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/patient-citizenship">
              <extension url="code">
                <valueCodeableConcept>
                  <coding>
                    <system value="urn:iso:std:iso:3166"/>
                    <code value="NO"/>
                    <display value="Norway"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
            </extension>
            <identifier>
              <system value="https://www.gravitatehealth.eu/sid/doc"/>
              <value value="ips-1"/>
            </identifier>
            <active value="true"/>
            <name>
              <family value="Gravitate"/>
              <given value="IPS"/>
            </name>
            <gender value="female"/>
            <birthDate value="1946-05-05"/>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d5"/>
        <resource>
          <Practitioner>
            <id value="1ece89c5-fda3-4db9-ace6-decbe6c603d5"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_1ece89c5-fda3-4db9-ace6-decbe6c603d5"> </a>Dr. Anne Karlsson</div>
            </text>
            <name>
              <family value="Karlsson"/>
              <given value="Anne"/>
              <prefix value="Dr."/>
            </name>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/AllergyIntolerance/1dff4474-fa08-4f45-8260-dbb23094bf05"/>
        <resource>
          <AllergyIntolerance>
            <id value="1dff4474-fa08-4f45-8260-dbb23094bf05"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_1dff4474-fa08-4f45-8260-dbb23094bf05"> </a>Hay fever</div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <verificationStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
                <code value="confirmed"/>
              </coding>
            </verificationStatus>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="256259004"/>
                <display value="Pollen"/>
              </coding>
            </code>
            <patient>
              <reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
              <display value="IPS 1"/>
            </patient>
            <reaction>
              <manifestation>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="21719001"/>
                  <display value="Allergic rhinitis caused by pollen"/>
                </coding>
                <text value="Hay fever"/>
              </manifestation>
            </reaction>
          </AllergyIntolerance>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/AllergyIntolerance/9d18cddb-8e58-4fbb-82ec-09cc561ac805"/>
        <resource>
          <AllergyIntolerance>
            <id value="9d18cddb-8e58-4fbb-82ec-09cc561ac805"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_9d18cddb-8e58-4fbb-82ec-09cc561ac805"> </a>Lactose Intolerance</div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <verificationStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
                <code value="confirmed"/>
              </coding>
            </verificationStatus>
            <type value="intolerance"/>
            <category value="food"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="782415009"/>
                <display value="Intolerance to lactose"/>
              </coding>
            </code>
            <patient>
              <reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
              <display value="IPS 1"/>
            </patient>
            <onsetAge>
              <value value="1"/>
              <unit value="year"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="a"/>
            </onsetAge>
            <recordedDate value="2009-10-09"/>
            <reaction>
              <substance>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="47703008"/>
                  <display value="lactose"/>
                </coding>
              </substance>
              <manifestation>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="21522001"/>
                  <display value="Abdominal pain"/>
                </coding>
              </manifestation>
              <manifestation>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="116289008"/>
                  <display value="Abdominal bloating"/>
                </coding>
              </manifestation>
              <manifestation>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="62315008"/>
                  <display value="Diarrhea"/>
                </coding>
              </manifestation>
            </reaction>
          </AllergyIntolerance>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/Condition/bcc79261-142c-48ec-b032-f3f9af49ec55"/>
        <resource>
          <Condition>
            <id value="bcc79261-142c-48ec-b032-f3f9af49ec55"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_bcc79261-142c-48ec-b032-f3f9af49ec55"> </a><p class="res-header-id"><b>Generated Narrative: Condition bcc79261-142c-48ec-b032-f3f9af49ec55</b></p><a name="bcc79261-142c-48ec-b032-f3f9af49ec55"> </a><a name="hcbcc79261-142c-48ec-b032-f3f9af49ec55"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 9014002}">Psoriasis</span></p><p><b>subject</b>: <a href="Bundle-gravitate-ips-1.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd6">Maria Gravitate</a></p><p><b>asserter</b>: <a href="Bundle-gravitate-ips-1.html#Practitioner_1ece89c5-fda3-4db9-ace6-decbe6c603d5">Dr. Anna Karlsson</a></p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="9014002"/>
                <display value="Psoriasis"/>
              </coding>
              <text value="Psoriasis"/>
            </code>
            <subject>
              <reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
              <display value="Maria Gravitate"/>
            </subject>
            <asserter>
              <reference
                         value="Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d5"/>
              <display value="Dr. Anna Karlsson"/>
            </asserter>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/Condition/a4a9d90a-d1b0-4d60-82f0-c52343dc6255"/>
        <resource>
          <Condition>
            <id value="a4a9d90a-d1b0-4d60-82f0-c52343dc6255"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_a4a9d90a-d1b0-4d60-82f0-c52343dc6255"> </a>Congestive heart failure (2015)</div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42343007"/>
                <display value="Congestive heart failure"/>
              </coding>
              <text value="Congestive heart failure"/>
            </code>
            <subject>
              <reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
              <display value="Maria Gravitate"/>
            </subject>
            <onsetDateTime value="2015"/>
            <asserter>
              <reference
                         value="Practitioner/1ece89c5-fda3-4db9-ace6-decbe6c603d5"/>
              <display value="Dr. Anna Karlsson"/>
            </asserter>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/Condition/f06b7cf8-c15c-4288-a0f9-45a1026e5135"/>
        <resource>
          <Condition>
            <id value="f06b7cf8-c15c-4288-a0f9-45a1026e5135"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_f06b7cf8-c15c-4288-a0f9-45a1026e5135"> </a><p class="res-header-id"><b>Generated Narrative: Condition f06b7cf8-c15c-4288-a0f9-45a1026e5135</b></p><a name="f06b7cf8-c15c-4288-a0f9-45a1026e5135"> </a><a name="hcf06b7cf8-c15c-4288-a0f9-45a1026e5135"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 38341003}">Hypertension</span></p><p><b>subject</b>: <a href="Bundle-gravitate-ips-1.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd6">Maria Gravitate</a></p><p><b>onset</b>: 1993</p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="38341003"/>
                <display value="HT - Hypertension"/>
              </coding>
              <text value="Hypertension"/>
            </code>
            <subject>
              <reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
              <display value="Maria Gravitate"/>
            </subject>
            <onsetDateTime value="1993"/>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/MedicationStatement/29074ca4-efcb-4ff4-8446-feed2399a895"/>
        <resource>
          <MedicationStatement>
            <id value="29074ca4-efcb-4ff4-8446-feed2399a895"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_29074ca4-efcb-4ff4-8446-feed2399a895"> </a><table><thead><tr><th>Brand Name</th><th>MAN</th><th>Active Substance</th><th>Common Name</th><th>ATC</th><th>Strength</th><th>Dose Form</th><th>RoA</th></tr></thead><tbody><tr><td>Skilarence</td><td>EU/1/17/1201/001</td><td>dimethyl fumarate (FO2303MNI2)</td><td>dimethyl fumarate</td><td>L04AX07</td><td>30 mg</td><td>Gastro-resistant tablet</td><td>Oral use</td></tr></tbody></table></div>
            </text>
            <status value="active"/>
            <medicationReference>
              <reference value="Medication/b50ae644-e0b7-4007-809f-26f493cbe365"/>
              <display value="Dimethyl fumarate 30 mg Tablet"/>
            </medicationReference>
            <subject>
              <reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
              <display value="Maria Gravitate"/>
            </subject>
            <dosage>
              <route>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="20053000"/>
                  <display value="Oral use"/>
                </coding>
              </route>
            </dosage>
          </MedicationStatement>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/MedicationStatement/f6cb1218-f81c-4338-80d8-3c10910f78f5"/>
        <resource>
          <MedicationStatement>
            <id value="f6cb1218-f81c-4338-80d8-3c10910f78f5"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_f6cb1218-f81c-4338-80d8-3c10910f78f5"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement f6cb1218-f81c-4338-80d8-3c10910f78f5</b></p><a name="f6cb1218-f81c-4338-80d8-3c10910f78f5"> </a><a name="hcf6cb1218-f81c-4338-80d8-3c10910f78f5"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href="Bundle-gravitate-ips-1.html#Medication_de131e15-ed13-4b31-b38c-3204a84d99c5">Irbesartan 75 mg Tablet</a></p><p><b>subject</b>: <a href="Bundle-gravitate-ips-1.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd6">Maria Gravitate</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Route</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://standardterms.edqm.eu 20053000}">Oral use</span></td></tr></table></div>
            </text>
            <status value="active"/>
            <medicationReference>
              <reference value="Medication/de131e15-ed13-4b31-b38c-3204a84d99c5"/>
              <display value="Irbesartan 75 mg Tablet"/>
            </medicationReference>
            <subject>
              <reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
              <display value="Maria Gravitate"/>
            </subject>
            <dosage>
              <route>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="20053000"/>
                  <display value="Oral use"/>
                </coding>
              </route>
            </dosage>
          </MedicationStatement>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/MedicationStatement/f26084c9-b1c8-46d9-acb2-1d400ade87b5"/>
        <resource>
          <MedicationStatement>
            <id value="f26084c9-b1c8-46d9-acb2-1d400ade87b5"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_f26084c9-b1c8-46d9-acb2-1d400ade87b5"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement f26084c9-b1c8-46d9-acb2-1d400ade87b5</b></p><a name="f26084c9-b1c8-46d9-acb2-1d400ade87b5"> </a><a name="hcf26084c9-b1c8-46d9-acb2-1d400ade87b5"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href="Bundle-gravitate-ips-1.html#Medication_9ac3356c-4ea4-4814-84c3-235484f2ef15">Oxymetazoline hydrochloride  0.05 mg / 1 ml Spray</a></p><p><b>subject</b>: <a href="Bundle-gravitate-ips-1.html#Patient_c154158f-6a43-4ab7-8443-e7f4bf915dd6">Maria Gravitate</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Route</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://standardterms.edqm.eu 20049000}">Nasal use</span></td></tr></table></div>
            </text>
            <status value="active"/>
            <medicationReference>
              <reference value="Medication/9ac3356c-4ea4-4814-84c3-235484f2ef15"/>
              <display value="Oxymetazoline hydrochloride  0.05 mg / 1 ml Spray"/>
            </medicationReference>
            <subject>
              <reference value="Patient/c154158f-6a43-4ab7-8443-e7f4bf915dd6"/>
              <display value="Maria Gravitate"/>
            </subject>
            <dosage>
              <route>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="20049000"/>
                  <display value="Nasal use"/>
                </coding>
              </route>
            </dosage>
          </MedicationStatement>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/Medication/b50ae644-e0b7-4007-809f-26f493cbe365"/>
        <resource>
          <Medication>
            <id value="b50ae644-e0b7-4007-809f-26f493cbe365"/>
            <text>
              <status value="generated"/>
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