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

## Example Bundle: Alicia HIMSS IPS

id: HIMSS-Alicia
Composition status: final
Composition Type: Patient summary Document
Subject:
identifier: alicia-1-himss
Name: Alicia HIMSS
active: true
gender: female
Birth Date: 1998-01-01

### Sections

#### Allergies and Intolerances

Allergy: Lactose (47703008)
clinicalStatus: active
verificationStatus: confirmed
Allergy: Pollen (256259004)
clinicalStatus: active
verificationStatus: confirmed
Reaction: Allergic rhinitis caused by pollen (21719001)

#### Problem List

Condition: Gestational diabetes mellitus (disorder) (11687002)
clinicalStatus: active
onsetDateTime: 2023
Condition: Hypertensive disorder, systemic arterial (disorder) (38341003)
clinicalStatus: active
asserter: Dr. Walter Waltz
onsetDateTime: 2022

#### Medication Summary

Medication: Irbesartan 75 mg Tablet
status: active
Medication Detail:

- System https://spor.ema.europa.eu/pmswi Code: EU/1/97/049/001 [Karvea 75 mg Tablet]

- System https://www.who-umc.org/phpid Code: 0x8DFB446EDB3B8AE508AE493827A704E4 [Irbesartan, 75 mg/ 1 tablet, Tablet]

- System http://www.whocc.no/atc Code: C09DA04 [irbesartan and diuretics]

Dose Form: Tablet
Ingredient: irbesartan (http://fdasis.nlm.nih.gov#J0E2756Z7N)
strength: 75 mg/1 Tablet
Route: Oral use
Medication: Metformin 500 mg Tablet
status: active
Medication Detail:

- System https://www.gravitatehealth.eu/sid/doc Code: himss-metformin [Metformin 500 mg tablets]

- System https://www.who-umc.org/phpid Code: himss1 [himss-1]

Dose Form: Tablet
Ingredient: metformin (http://fdasis.nlm.nih.gov#9100L32L2N)
strength: 500 mg/1 Tablet
Route: Oral use
Medication: Ibuprofen 600 mg Tablet
status: active
Medication Detail:

- System https://www.gravitatehealth.eu/sid/doc Code: himss-ibuprofen [Ibuprofen 600 mg Tablet]

- System https://www.who-umc.org/phpid Code: himss2 [himss-2]

Dose Form: Tablet
Ingredient: IBUPROFEN (http://fdasis.nlm.nih.gov#WK2XYI10QM)
strength: 600 mg/1 Tablet
Route: Oral use

#### Relevant diagnostic tests &/or laboratory data

Observation: Cholesterol [Mass/volume] in Serum or Plasma
Status: final
Issued: 2024-05-05T06:22:41-05:00
Result: 135 U/L (Abnormal) [30 U/L-110 U/L]
Observation: Cholesterol in HDL [Mass/volume] in Serum or Plasma
Status: final
Issued: 2024-05-05T06:22:41-05:00
Result: 55 mg/dL (Normal) [35 mg/dL-65 mg/dL]
Observation: Cholesterol in LDL [Mass/volume] in Serum or Plasma
Status: final
Issued: 2024-05-05T06:22:41-05:00
Result: 110 mg/dL (Normal) [100 mg/dL-130 mg/dL]
Observation: Cholesterol in HDL [Mass/volume] in Serum or Plasma
Status: final
Issued: 2024-04-06T06:22:41-05:00
Result: 55 mg/dL (Normal) [35 mg/dL-65 mg/dL]
Observation: Cholesterol in HDL [Mass/volume] in Serum or Plasma
Status: final
Issued: 2024-05-05T06:22:41-05:00
Result: 55 mg/dL (Normal) [35 mg/dL-65 mg/dL]
Observation: Cholesterol in HDL [Mass/volume] in Serum or Plasma
Status: final
Issued: 2024-05-05T06:22:41-05:00
Result: 55.5 mg/dL (Normal) [35 mg/dL-65 mg/dL]
Observation: Triglyceride [Mass/volume] in Serum or Plasma
Status: final
Issued: 2024-05-05T06:22:41-05:00
Result: 75 mg/dL (Normal) [0 mg/dL-150 mg/dL]
Observation: Uric Acid
Status: final
Issued: 2023-11-06T06:22:41-05:00
Result: 4.8 mg/dL (Normal) [2.7 mg/dL-7.3 mg/dL]
Observation: Uric Acid
Status: final
Issued: 2024-04-06T06:22:41-05:00
Result: 4.8 mg/dL (Normal) [2.7 mg/dL-7.3 mg/dL]
Observation: Albumin [Mass/volume] in Serum or Plasma
Status: final
Issued: 2024-05-05T06:22:41-05:00
Result: 4.7 g/dL (Normal) [3.4 g/dL-5.4 g/dL]
Document Reference: Discharge summary
Status: superseded
Date: 2024-04-06T06:22:41-05:00
Document Reference: Discharge summary
Status: superseded
Date: 2024-04-06T06:22:41-05:00
Document Reference: Discharge summary
Status: superseded
Date: 2024-04-06T06:22:41-05:00

#### Vital signs

Code: Blood Pressure
Status: final
Issued: 2024-04-06T06:22:41-05:00
Result:
Diastolic blood pressure || 60 mm[Hg]
Systolic blood pressure || 90 mm[Hg]
Code: Heart Rate
Status: final
Issued: 2024-04-06T06:22:41-05:00
Result: 108 bpm [60 bpm-100 bpm]
Code: Blood Oxygen
Status: final
Issued: 2024-04-06T06:22:41-05:00
Result: 96 % (Normal) [90 %-99 %]
Code: Blood Pressure
Status: final
Issued: 2024-04-07T06:22:41-05:00
Result:
Diastolic blood pressure || 90 mm[Hg]
Systolic blood pressure || 120 mm[Hg]
Code: Heart Rate
Status: final
Issued: 2024-04-07T06:22:41-05:00
Result: 80 bpm [60 bpm-100 bpm]
Code: Blood Oxygen
Status: final
Issued: 2024-04-07T06:22:41-05:00
Result: 99 % (Normal) [90 %-99 %]

#### Social history Narrative

Code: Tobacco Smoking Status
status: final
Result:
Age at starting smoking || 17
Age at smoking cessation || 35
Cigarette pack-years || 200

#### Pregnancy History