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

## : Helen Gravitate's IPS - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "gravitate-helen",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"
        ]
      },
      "identifier" : {
        "system" : "https://www.gravitatehealth.eu/sid/doc",
        "value" : "helen-ips-1"
      },
      "type" : "document",
      "timestamp" : "2021-04-18T09:22:00+02:00",
      "entry" : [
        {
          "fullUrl" : "https://myserver.org/Composition/5702fd1d-dd26-402e-a7c0-7629a5d9bba1",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "gravitate-helen",
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_gravitate-helen\"> </a>\n  \n\n    \n      <b>Id:</b>\n      gravitate-helen\n    <br/>\n    \n      <b>status:</b>\n      Final\n    <br/>\n    \n      <b>Type:</b>\n      Patient summary Document\n    <br/>\n    \n      <b>Subject:</b>\n      <a>Helen Gravitate</a>\n    \n\n    <br/>\n    <b>Sections:</b>\n    <br/>\n\n    <ul>\n      \n        <li>\n\n          Allergies and Intolerances\n\n        </li>\n        <ul>\n\n          \n\n            <li>\n\n              Lactose Intolerance\n\n            </li>\n          \n        </ul>\n\n      \n        <li>\n\n          Problem List\n\n        </li>\n        <ul>\n\n          \n\n            <li>\n\n              Diabetes type 1\n\n            </li>\n          \n        </ul>\n\n      \n        <li>\n\n          Medication Summary\n\n        </li>\n        <ul>\n\n          \n\n            <li>\n\n              Humalog Mix50 Insulin KwikPen, 3ml pre-fill\n\n            </li>\n          \n\n            <li>\n\n              Monuril 3 g granules for oral solution\n\n            </li>\n          \n        </ul>\n\n      \n\n    </ul>\n\n  \n\n</div>"
            },
            "status" : "final",
            "type" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "60591-5",
                  "display" : "Patient summary Document"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/be61951b-44fc-4853-8822-f9d398193c50",
              "display" : "Helen Gravitate"
            },
            "date" : "2018-07-10T15:22:00+02:00",
            "author" : [
              {
                "reference" : "Practitioner/45cd0bd4-f685-4117-a9f0-5c53fffb7266",
                "display" : "Dr. Anna Karlsson"
              }
            ],
            "title" : "Patient Summary (Helen Gravitate)",
            "confidentiality" : "N",
            "section" : [
              {
                "title" : "Allergies and Intolerances",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "48765-2",
                      "display" : "Allergies and adverse reactions Document"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Hay fever (pollen)</li></ul></div>"
                },
                "entry" : [
                  {
                    "reference" : "AllergyIntolerance/cb6e84fa-4302-4569-ac1c-6b1b32507d16",
                    "display" : "Lactose Intolerance"
                  }
                ]
              },
              {
                "title" : "Problem List",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "11450-4",
                      "display" : "Problem list Reported"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Diabetes type 1</li></ul></div>"
                },
                "entry" : [
                  {
                    "reference" : "Condition/de06df6b-0967-4b01-822b-7cfeea970aa7",
                    "display" : "Diabetes type 1"
                  }
                ]
              },
              {
                "title" : "Medication Summary",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "10160-0",
                      "display" : "Hx of Medication use"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th>Brand Name</th><th>MAN</th><th>Active Substance</th><th>Common Name</th><th>ATC</th><th>Strength</th><th>Dose Form</th><th>RoA</th></tr></thead><tbody><tr><td>Humalog Mix50 Insulin KwikPen, 3ml pre-fill</td><td>EU/1/96/007/035</td><td>insulin lispro (GFX7QIS1II)</td><td>insulin lispro</td><td>A10AD04</td><td>100 U/ml</td><td>Suspension for injection</td><td>Subcutaneous use</td></tr><tr><td>Monuril 3 g granules for oral solution</td><td>PL31654/0006</td><td>FOSFOMYCIN (2N81MY12TE)</td><td>fosfomycin</td><td>J01XX01</td><td>3 g (as trometamol: 5.631g/sachet)</td><td>Granules for oral solution</td><td>Oral use</td></tr></tbody></table></div>"
                },
                "entry" : [
                  {
                    "reference" : "MedicationStatement/18eb9898-dea7-4c5e-b097-e507e011747b",
                    "display" : "Humalog Mix50 Insulin KwikPen, 3ml pre-fill"
                  },
                  {
                    "reference" : "MedicationStatement/c90b943a-3d8e-4f14-b56d-5c5c208b2065",
                    "display" : "Monuril 3 g granules for oral solution"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Patient/be61951b-44fc-4853-8822-f9d398193c50",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "be61951b-44fc-4853-8822-f9d398193c50",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_be61951b-44fc-4853-8822-f9d398193c50\"> </a>Helen Gravitate, Female, 75 years old (1946-05-05)</div>"
            },
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "urn:iso:std:iso:3166",
                          "code" : "GB",
                          "display" : "United Kingdom of Great Britain and Northern Ireland"
                        }
                      ]
                    }
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship"
              }
            ],
            "identifier" : [
              {
                "system" : "https://www.gravitatehealth.eu/sid/doc",
                "value" : "helen-1"
              }
            ],
            "active" : true,
            "name" : [
              {
                "family" : "Gravitate",
                "given" : [
                  "Helen"
                ]
              }
            ],
            "gender" : "female",
            "birthDate" : "1946-05-05"
          }
        },
        {
          "fullUrl" : "https://myserver.org/Practitioner/45cd0bd4-f685-4117-a9f0-5c53fffb7266",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "45cd0bd4-f685-4117-a9f0-5c53fffb7266",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_45cd0bd4-f685-4117-a9f0-5c53fffb7266\"> </a>Dr. Anne Karlsson</div>"
            },
            "name" : [
              {
                "family" : "Karlsson",
                "given" : [
                  "Anne"
                ],
                "prefix" : [
                  "Dr."
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/AllergyIntolerance/cb6e84fa-4302-4569-ac1c-6b1b32507d16",
          "resource" : {
            "resourceType" : "AllergyIntolerance",
            "id" : "cb6e84fa-4302-4569-ac1c-6b1b32507d16",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_cb6e84fa-4302-4569-ac1c-6b1b32507d16\"> </a>Lactose Intolerance</div>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                  "code" : "active"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
                  "code" : "confirmed"
                }
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "47703008",
                  "display" : "Lactose"
                }
              ]
            },
            "patient" : {
              "reference" : "Patient/be61951b-44fc-4853-8822-f9d398193c50",
              "display" : "Helen Gravitate"
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Condition/de06df6b-0967-4b01-822b-7cfeea970aa7",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "de06df6b-0967-4b01-822b-7cfeea970aa7",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_de06df6b-0967-4b01-822b-7cfeea970aa7\"> </a>Diabetes mellitus type 1 (2015)</div>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active"
                }
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "46635009",
                  "display" : "Diabetes mellitus type 1"
                }
              ],
              "text" : "Diabetes type 1"
            },
            "subject" : {
              "reference" : "Patient/be61951b-44fc-4853-8822-f9d398193c50",
              "display" : "Helen Gravitate"
            },
            "onsetDateTime" : "2015",
            "asserter" : {
              "reference" : "Practitioner/45cd0bd4-f685-4117-a9f0-5c53fffb7266",
              "display" : "Dr. Anna Karlsson"
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/18eb9898-dea7-4c5e-b097-e507e011747b",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "18eb9898-dea7-4c5e-b097-e507e011747b",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_18eb9898-dea7-4c5e-b097-e507e011747b\"> </a><table><thead><tr><th>Brand Name</th><th>MAN</th><th>Active Substance</th><th>Common Name</th><th>ATC</th><th>Strength</th><th>Dose Form</th><th>RoA</th></tr></thead><tbody><tr><td>Humalog Mix50 Insulin KwikPen, 3ml pre-fill</td><td>EU/1/96/007/035</td><td>insulin lispro (GFX7QIS1II)</td><td>insulin lispro</td><td>A10AD04</td><td>100 U/ml</td><td>Suspension for injection</td><td>Subcutaneous use</td></tr></tbody></table></div>"
            },
            "status" : "active",
            "medicationReference" : {
              "reference" : "Medication/9d7be868-8264-4d94-ad04-ef04ecc92e50",
              "display" : "Humalog Mix50 Insulin KwikPen, 3ml pre-fill"
            },
            "subject" : {
              "reference" : "Patient/be61951b-44fc-4853-8822-f9d398193c50",
              "display" : "Helen Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20066000",
                      "display" : "Subcutaneous use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/c90b943a-3d8e-4f14-b56d-5c5c208b2065",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "c90b943a-3d8e-4f14-b56d-5c5c208b2065",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_c90b943a-3d8e-4f14-b56d-5c5c208b2065\"> </a><table><thead><tr><th>Brand Name</th><th>MAN</th><th>Active Substance</th><th>Common Name</th><th>ATC</th><th>Strength</th><th>Dose Form</th><th>RoA</th></tr></thead><tbody><tr><td>Monuril 3 g granules for oral solution</td><td>PL31654/0006</td><td>FOSFOMYCIN (2N81MY12TE)</td><td>fosfomycin</td><td>J01XX01</td><td>3 g (as trometamol: 5.631g/sachet)</td><td>Granules for oral solution</td><td>Oral use</td></tr></tbody></table></div>"
            },
            "basedOn" : [
              {
                "reference" : "MedicationRequest/c872135e-f219-4f32-8fd6-7099009abf42"
              }
            ],
            "status" : "active",
            "medicationReference" : {
              "reference" : "Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3",
              "display" : "Monuril 3g granules for oral solution"
            },
            "subject" : {
              "reference" : "Patient/be61951b-44fc-4853-8822-f9d398193c50",
              "display" : "Helen Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20053000",
                      "display" : "Oral use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationRequest/c872135e-f219-4f32-8fd6-7099009abf42",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "c872135e-f219-4f32-8fd6-7099009abf42",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_c872135e-f219-4f32-8fd6-7099009abf42\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest c872135e-f219-4f32-8fd6-7099009abf42</b></p><a name=\"c872135e-f219-4f32-8fd6-7099009abf42\"> </a><a name=\"hcc872135e-f219-4f32-8fd6-7099009abf42\"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"Bundle-gravitate-helen.html#Medication_fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3\">Monuril</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-helen.html#Patient_be61951b-44fc-4853-8822-f9d398193c50\">Helen Gravitate  Female, DoB: 1946-05-05 ( https://www.gravitatehealth.eu/sid/doc#helen-1)</a></p></div>"
            },
            "status" : "active",
            "intent" : "order",
            "medicationReference" : {
              "reference" : "Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3",
              "display" : "Monuril"
            },
            "subject" : {
              "reference" : "Patient/be61951b-44fc-4853-8822-f9d398193c50"
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Medication/9d7be868-8264-4d94-ad04-ef04ecc92e50",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "9d7be868-8264-4d94-ad04-ef04ecc92e50",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_9d7be868-8264-4d94-ad04-ef04ecc92e50\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication 9d7be868-8264-4d94-ad04-ef04ecc92e50</b></p><a name=\"9d7be868-8264-4d94-ad04-ef04ecc92e50\"> </a><a name=\"hc9d7be868-8264-4d94-ad04-ef04ecc92e50\"> </a><p><b>code</b>: <span title=\"Codes:{https://spor.ema.europa.eu/pmswi EU/1/96/007/035}, {https://www.who-umc.org/phpid 0xF79CABF272B6A7EEF104DDDA44E82717}, {http://snomed.info/sct 388454007}, {http://www.whocc.no/atc A10AD04}\">Humalog Mix50 KwikPen 100 U/ml 5 pre-filled pen</span></p><p><b>form</b>: <span title=\"Codes:{http://standardterms.edqm.eu 11202000}\">Suspension for injection</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://fdasis.nlm.nih.gov GFX7QIS1II}\">insulin lispro</span></td><td>100 units<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeU = 'U')</span>/1 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeml = 'ml')</span></td></tr></table></div>"
            },
            "code" : {
              "coding" : [
                {
                  "system" : "https://spor.ema.europa.eu/pmswi",
                  "code" : "EU/1/96/007/035",
                  "display" : "Humalog Mix50 KwikPen 100 U/ml 5 pre-filled pen"
                },
                {
                  "system" : "https://www.who-umc.org/phpid",
                  "code" : "0xF79CABF272B6A7EEF104DDDA44E82717",
                  "display" : "Insulin Lispro 100 U/ml 5 pre-filled pen"
                },
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "388454007",
                  "display" : "Product containing insulin lispro (medicinal product)"
                },
                {
                  "system" : "http://www.whocc.no/atc",
                  "code" : "A10AD04",
                  "display" : "insulin lispro"
                }
              ]
            },
            "form" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "11202000",
                  "display" : "Suspension for injection"
                }
              ]
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fdasis.nlm.nih.gov",
                      "code" : "GFX7QIS1II",
                      "display" : "insulin lispro"
                    }
                  ],
                  "text" : "insulin lispro"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 100,
                    "unit" : "units",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "U"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "ml",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "ml"
                  }
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3</b></p><a name=\"fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3\"> </a><a name=\"hcfdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3\"> </a><p><b>code</b>: <span title=\"Codes:{https://spor.ema.europa.eu/pmswi PL31654/0087}, {https://www.who-umc.org/phpid 0xE857DA811B4A6F3BD57810C45D2EA1RF}, {http://www.whocc.no/atc J01XX01}\">Monuril</span></p><p><b>form</b>: <span title=\"Codes:{http://standardterms.edqm.eu 10112000}\">Granules for oral solution</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://fdasis.nlm.nih.gov 7FXW6U30GY}\">FOSFOMYCIN TROMETAMOL</span></td><td>5.631 g<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg = 'g')</span>/1 Sachet<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{sachet} = '{sachet}')</span></td></tr></table></div>"
            },
            "code" : {
              "coding" : [
                {
                  "system" : "https://spor.ema.europa.eu/pmswi",
                  "code" : "PL31654/0087",
                  "display" : "Monuril"
                },
                {
                  "system" : "https://www.who-umc.org/phpid",
                  "code" : "0xE857DA811B4A6F3BD57810C45D2EA1RF",
                  "display" : "Fosfomycin, 3g, Granules for oral solution"
                },
                {
                  "system" : "http://www.whocc.no/atc",
                  "code" : "J01XX01",
                  "display" : "fosfomycin"
                }
              ]
            },
            "form" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "10112000",
                  "display" : "Granules for oral solution"
                }
              ]
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fdasis.nlm.nih.gov",
                      "code" : "7FXW6U30GY",
                      "display" : "FOSFOMYCIN TROMETHAMINE"
                    }
                  ],
                  "text" : "FOSFOMYCIN TROMETAMOL"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 5.631,
                    "unit" : "g",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "g"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "Sachet",
                    "system" : "http://unitsofmeasure.org",
                    "code" : "{sachet}"
                  }
                }
              }
            ]
          }
        }
      ]
    }