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 - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="gravitate-helen"/>
      <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="helen-ips-1"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2021-04-18T09:22:00+02:00"/>
      <entry>
        <fullUrl
                 value="https://myserver.org/Composition/5702fd1d-dd26-402e-a7c0-7629a5d9bba1"/>
        <resource>
          <Composition>
            <id value="gravitate-helen"/>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_gravitate-helen"> </a>

          <b>Id:</b>
          gravitate-helen
        <br/>

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

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

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

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

        <ul>

            <li>

              Allergies and Intolerances

            </li>
            <ul>

                <li>

                  Lactose Intolerance

                </li>

            </ul>

            <li>

              Problem List

            </li>
            <ul>

                <li>

                  Diabetes type 1

                </li>

            </ul>

            <li>

              Medication Summary

            </li>
            <ul>

                <li>

                  Humalog Mix50 Insulin KwikPen, 3ml pre-fill

                </li>

                <li>

                  Monuril 3 g granules for oral solution

                </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/be61951b-44fc-4853-8822-f9d398193c50"/>
              <display value="Helen Gravitate"/>
            </subject>
            <date value="2018-07-10T15:22:00+02:00"/>
            <author>
              <reference
                         value="Practitioner/45cd0bd4-f685-4117-a9f0-5c53fffb7266"/>
              <display value="Dr. Anna Karlsson"/>
            </author>
            <title value="Patient Summary (Helen 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>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Hay fever (pollen)</li></ul></div>
              </text>
              <entry>
                <reference
                           value="AllergyIntolerance/cb6e84fa-4302-4569-ac1c-6b1b32507d16"/>
                <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>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Diabetes type 1</li></ul></div>
              </text>
              <entry>
                <reference
                           value="Condition/de06df6b-0967-4b01-822b-7cfeea970aa7"/>
                <display value="Diabetes type 1"/>
              </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>
              <text>
                <status value="generated"/>
                <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>
              </text>
              <entry>
                <reference
                           value="MedicationStatement/18eb9898-dea7-4c5e-b097-e507e011747b"/>
                <display value="Humalog Mix50 Insulin KwikPen, 3ml pre-fill"/>
              </entry>
              <entry>
                <reference
                           value="MedicationStatement/c90b943a-3d8e-4f14-b56d-5c5c208b2065"/>
                <display value="Monuril 3 g granules for oral solution"/>
              </entry>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/Patient/be61951b-44fc-4853-8822-f9d398193c50"/>
        <resource>
          <Patient>
            <id value="be61951b-44fc-4853-8822-f9d398193c50"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/patient-citizenship">
              <extension url="code">
                <valueCodeableConcept>
                  <coding>
                    <system value="urn:iso:std:iso:3166"/>
                    <code value="GB"/>
                    <display
                             value="United Kingdom of Great Britain and Northern Ireland"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
            </extension>
            <identifier>
              <system value="https://www.gravitatehealth.eu/sid/doc"/>
              <value value="helen-1"/>
            </identifier>
            <active value="true"/>
            <name>
              <family value="Gravitate"/>
              <given value="Helen"/>
            </name>
            <gender value="female"/>
            <birthDate value="1946-05-05"/>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/Practitioner/45cd0bd4-f685-4117-a9f0-5c53fffb7266"/>
        <resource>
          <Practitioner>
            <id value="45cd0bd4-f685-4117-a9f0-5c53fffb7266"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_45cd0bd4-f685-4117-a9f0-5c53fffb7266"> </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/cb6e84fa-4302-4569-ac1c-6b1b32507d16"/>
        <resource>
          <AllergyIntolerance>
            <id value="cb6e84fa-4302-4569-ac1c-6b1b32507d16"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_cb6e84fa-4302-4569-ac1c-6b1b32507d16"> </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>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="47703008"/>
                <display value="Lactose"/>
              </coding>
            </code>
            <patient>
              <reference value="Patient/be61951b-44fc-4853-8822-f9d398193c50"/>
              <display value="Helen Gravitate"/>
            </patient>
          </AllergyIntolerance>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/Condition/de06df6b-0967-4b01-822b-7cfeea970aa7"/>
        <resource>
          <Condition>
            <id value="de06df6b-0967-4b01-822b-7cfeea970aa7"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_de06df6b-0967-4b01-822b-7cfeea970aa7"> </a>Diabetes mellitus type 1 (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="46635009"/>
                <display value="Diabetes mellitus type 1"/>
              </coding>
              <text value="Diabetes type 1"/>
            </code>
            <subject>
              <reference value="Patient/be61951b-44fc-4853-8822-f9d398193c50"/>
              <display value="Helen Gravitate"/>
            </subject>
            <onsetDateTime value="2015"/>
            <asserter>
              <reference
                         value="Practitioner/45cd0bd4-f685-4117-a9f0-5c53fffb7266"/>
              <display value="Dr. Anna Karlsson"/>
            </asserter>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/MedicationStatement/18eb9898-dea7-4c5e-b097-e507e011747b"/>
        <resource>
          <MedicationStatement>
            <id value="18eb9898-dea7-4c5e-b097-e507e011747b"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <status value="active"/>
            <medicationReference>
              <reference value="Medication/9d7be868-8264-4d94-ad04-ef04ecc92e50"/>
              <display value="Humalog Mix50 Insulin KwikPen, 3ml pre-fill"/>
            </medicationReference>
            <subject>
              <reference value="Patient/be61951b-44fc-4853-8822-f9d398193c50"/>
              <display value="Helen Gravitate"/>
            </subject>
            <dosage>
              <route>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="20066000"/>
                  <display value="Subcutaneous use"/>
                </coding>
              </route>
            </dosage>
          </MedicationStatement>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/MedicationStatement/c90b943a-3d8e-4f14-b56d-5c5c208b2065"/>
        <resource>
          <MedicationStatement>
            <id value="c90b943a-3d8e-4f14-b56d-5c5c208b2065"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <basedOn>
              <reference
                         value="MedicationRequest/c872135e-f219-4f32-8fd6-7099009abf42"/>
            </basedOn>
            <status value="active"/>
            <medicationReference>
              <reference value="Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3"/>
              <display value="Monuril 3g granules for oral solution"/>
            </medicationReference>
            <subject>
              <reference value="Patient/be61951b-44fc-4853-8822-f9d398193c50"/>
              <display value="Helen 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/MedicationRequest/c872135e-f219-4f32-8fd6-7099009abf42"/>
        <resource>
          <MedicationRequest>
            <id value="c872135e-f219-4f32-8fd6-7099009abf42"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <status value="active"/>
            <intent value="order"/>
            <medicationReference>
              <reference value="Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3"/>
              <display value="Monuril"/>
            </medicationReference>
            <subject>
              <reference value="Patient/be61951b-44fc-4853-8822-f9d398193c50"/>
            </subject>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/Medication/9d7be868-8264-4d94-ad04-ef04ecc92e50"/>
        <resource>
          <Medication>
            <id value="9d7be868-8264-4d94-ad04-ef04ecc92e50"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <code>
              <coding>
                <system value="https://spor.ema.europa.eu/pmswi"/>
                <code value="EU/1/96/007/035"/>
                <display value="Humalog Mix50 KwikPen 100 U/ml 5 pre-filled pen"/>
              </coding>
              <coding>
                <system value="https://www.who-umc.org/phpid"/>
                <code value="0xF79CABF272B6A7EEF104DDDA44E82717"/>
                <display value="Insulin Lispro 100 U/ml 5 pre-filled pen"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="388454007"/>
                <display
                         value="Product containing insulin lispro (medicinal product)"/>
              </coding>
              <coding>
                <system value="http://www.whocc.no/atc"/>
                <code value="A10AD04"/>
                <display value="insulin lispro"/>
              </coding>
            </code>
            <form>
              <coding>
                <system value="http://standardterms.edqm.eu"/>
                <code value="11202000"/>
                <display value="Suspension for injection"/>
              </coding>
            </form>
            <ingredient>
              <itemCodeableConcept>
                <coding>
                  <system value="http://fdasis.nlm.nih.gov"/>
                  <code value="GFX7QIS1II"/>
                  <display value="insulin lispro"/>
                </coding>
                <text value="insulin lispro"/>
              </itemCodeableConcept>
              <strength>
                <numerator>
                  <value value="100"/>
                  <unit value="units"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="U"/>
                </numerator>
                <denominator>
                  <value value="1"/>
                  <unit value="ml"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="ml"/>
                </denominator>
              </strength>
            </ingredient>
          </Medication>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3"/>
        <resource>
          <Medication>
            <id value="fdb5c97f-0a46-41ba-bc34-2efd2ef2f7e3"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <code>
              <coding>
                <system value="https://spor.ema.europa.eu/pmswi"/>
                <code value="PL31654/0087"/>
                <display value="Monuril"/>
              </coding>
              <coding>
                <system value="https://www.who-umc.org/phpid"/>
                <code value="0xE857DA811B4A6F3BD57810C45D2EA1RF"/>
                <display value="Fosfomycin, 3g, Granules for oral solution"/>
              </coding>
              <coding>
                <system value="http://www.whocc.no/atc"/>
                <code value="J01XX01"/>
                <display value="fosfomycin"/>
              </coding>
            </code>
            <form>
              <coding>
                <system value="http://standardterms.edqm.eu"/>
                <code value="10112000"/>
                <display value="Granules for oral solution"/>
              </coding>
            </form>
            <ingredient>
              <itemCodeableConcept>
                <coding>
                  <system value="http://fdasis.nlm.nih.gov"/>
                  <code value="7FXW6U30GY"/>
                  <display value="FOSFOMYCIN TROMETHAMINE"/>
                </coding>
                <text value="FOSFOMYCIN TROMETAMOL"/>
              </itemCodeableConcept>
              <strength>
                <numerator>
                  <value value="5.631"/>
                  <unit value="g"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="g"/>
                </numerator>
                <denominator>
                  <value value="1"/>
                  <unit value="Sachet"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="{sachet}"/>
                </denominator>
              </strength>
            </ingredient>
          </Medication>
        </resource>
      </entry>
    </Bundle>