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

## : Renee Gravitate's IPS - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "gravitate-Renee",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"
        ]
      },
      "identifier" : {
        "system" : "https://www.gravitatehealth.eu/sid/doc",
        "value" : "Renee-ips-1"
      },
      "type" : "document",
      "timestamp" : "2025-06-04T09:22:00+02:00",
      "entry" : [
        {
          "fullUrl" : "https://myserver.org/Composition/Renee-comp",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "gravitate-Renee",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_gravitate-Renee\"> </a><b>Id:</b> gravitate-Renee<br/><b>status:</b> final<br/><b>Type:</b> Patient summary Document<br/><b>Subject:</b> Renee Gravitate<br/><b>Sections:</b><br/><ul><li><b>Title:</b> Problem List<br/><b>Code:</b> Problem list Reported (11450-4)</li><br/><ul><li><b>Entry:</b> <a href=\"Condition-Renee-cond-1.html\">HIV</a></li><br/><li><b>Entry:</b> <a href=\"Condition-Renee-cond-2.html\">Trigeminal neuralgia</a></li><br/><li><b>Entry:</b> <a href=\"Condition-Renee-cond-3.html\">Depression</a></li><br/><li><b>Entry:</b> <a href=\"Condition-Renee-cond-4.html\">Overweight</a></li></ul><li><b>Title:</b> Medication Summary<br/><b>Code:</b> Hx of Medication use (10160-0)</li><br/><ul><li><b>Entry:</b> <a href=\"MedicationStatement-Renee-med-stat-1.html\">BIKTARVY Bictegravir/Emtricitabine/Tenofovir Alafenamide 1 t QD</a></li><br/><li><b>Entry:</b> <a href=\"MedicationStatement-Renee-med-stat-2.html\">Calcium/Vit D</a></li><br/><li><b>Entry:</b> <a href=\"MedicationStatement-Renee-med-stat-3.html\">Folic Acid + Cyanocobalamin + Iodur 1 t QD</a></li><br/><li><b>Entry:</b> <a href=\"MedicationStatement-Renee-med-stat-4.html\">Carbamazepine 1 t TID</a></li><br/><li><b>Entry:</b> <a href=\"MedicationStatement-Renee-med-stat-5.html\">Orlistat 1 cp TID</a></li><br/><li><b>Entry:</b> <a href=\"MedicationStatement-Renee-med-stat-6.html\">St. John’s Wort 2 cp BID</a></li><br/><li><b>Entry:</b> <a href=\"MedicationStatement-Renee-med-stat-7.html\">Collagen and magnesium supplements</a></li><br/></ul></ul></div>"
            },
            "status" : "final",
            "type" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "60591-5",
                  "display" : "Patient summary Document"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/Renee-patient",
              "display" : "Renee Gravitate"
            },
            "date" : "2018-07-10T15:22:00+02:00",
            "author" : [
              {
                "reference" : "Practitioner/Renee-pract",
                "display" : "Dr. Walter Waltz"
              }
            ],
            "title" : "Patient Summary (Renee Gravitate)",
            "confidentiality" : "N",
            "section" : [
              {
                "title" : "Problem List",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "11450-4",
                      "display" : "Problem list Reported"
                    }
                  ]
                },
                "entry" : [
                  {
                    "reference" : "Condition/Renee-cond-1",
                    "display" : "Depression"
                  },
                  {
                    "reference" : "Condition/Renee-cond-2",
                    "display" : "HIV"
                  }
                ]
              },
              {
                "title" : "Medication Summary",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "10160-0",
                      "display" : "Hx of Medication use"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div>Medication list Reported</div>"
                },
                "entry" : [
                  {
                    "reference" : "MedicationStatement/Renee-med-stat-1",
                    "display" : "aspirin 75 mg PO OD"
                  },
                  {
                    "reference" : "MedicationStatement/Renee-med-stat-2",
                    "display" : "Atorvastatin 40 mg PO nightly"
                  },
                  {
                    "reference" : "MedicationStatement/Renee-med-stat-3",
                    "display" : "Furosemide 20 mg PO AM (↑ PRN)"
                  },
                  {
                    "reference" : "MedicationStatement/Renee-med-stat-4",
                    "display" : "Ramipril 1.25 mg PO nightly (titrate q1-2 wk)"
                  },
                  {
                    "reference" : "MedicationStatement/Renee-med-stat-5",
                    "display" : "Loratadine"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Patient/Renee-patient",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "Renee-patient",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Renee-patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Renee-patient</b></p><a name=\"Renee-patient\"> </a><a name=\"hcRenee-patient\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Renee Gravitate  Female, DoB: 1950-10-05 ( https://www.gravitatehealth.eu/sid/doc#Renee-1)</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>/c693b6c7-8a8f-471d-a57d-69b59c797771</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 FR}\">France</span></li></ul></td></tr></table></div>"
            },
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "urn:iso:std:iso:3166",
                          "code" : "FR",
                          "display" : "France"
                        }
                      ]
                    }
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship"
              }
            ],
            "identifier" : [
              {
                "system" : "https://www.gravitatehealth.eu/sid/doc",
                "value" : "Renee-1"
              },
              {
                "system" : "keycloak-id",
                "value" : "c693b6c7-8a8f-471d-a57d-69b59c797771"
              }
            ],
            "active" : true,
            "name" : [
              {
                "family" : "Gravitate",
                "given" : [
                  "Renee"
                ]
              }
            ],
            "gender" : "female",
            "birthDate" : "1950-10-05"
          }
        },
        {
          "fullUrl" : "https://myserver.org/Practitioner/Renee-pract",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "Renee-pract",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_Renee-pract\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner Renee-pract</b></p><a name=\"Renee-pract\"> </a><a name=\"hcRenee-pract\"> </a><p><b>name</b>: Walter Waltz </p></div>"
            },
            "name" : [
              {
                "family" : "Waltz",
                "given" : [
                  "Walter"
                ],
                "prefix" : [
                  "Dr."
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Condition/Renee-cond-1",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "Renee-cond-1",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_Renee-cond-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition Renee-cond-1</b></p><a name=\"Renee-cond-1\"> </a><a name=\"hcRenee-cond-1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-Condition-uv-ips.html\">Condition (IPS)</a></p></div><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 60573004}\">Aortic valve stenosis</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-Renee.html#Patient_Renee-patient\">Renee Gravitate</a></p></div>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active"
                }
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "60573004",
                  "display" : "Aortic valve stenosis"
                }
              ],
              "text" : "Aortic valve stenosis"
            },
            "subject" : {
              "reference" : "Patient/Renee-patient",
              "display" : "Renee Gravitate"
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/Condition/Renee-cond-2",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "Renee-cond-2",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_Renee-cond-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition Renee-cond-2</b></p><a name=\"Renee-cond-2\"> </a><a name=\"hcRenee-cond-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-Condition-uv-ips.html\">Condition (IPS)</a></p></div><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 84114007}\">Heart failure</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-Renee.html#Patient_Renee-patient\">Renee Gravitate</a></p><p><b>onset</b>: 2018</p><p><b>asserter</b>: <a href=\"Bundle-gravitate-Renee.html#Practitioner_Renee-pract\">Dr. Walter Waltz</a></p></div>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active"
                }
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "84114007",
                  "display" : "Heart failure"
                }
              ],
              "text" : "Heart failure"
            },
            "subject" : {
              "reference" : "Patient/Renee-patient",
              "display" : "Renee Gravitate"
            },
            "onsetDateTime" : "2018",
            "asserter" : {
              "reference" : "Practitioner/Renee-pract",
              "display" : "Dr. Walter Waltz"
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/Renee-med-stat-1",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "Renee-med-stat-1",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_Renee-med-stat-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement Renee-med-stat-1</b></p><a name=\"Renee-med-stat-1\"> </a><a name=\"hcRenee-med-stat-1\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-Renee.html#Medication_renee-med-1\">aspirin 75 mg</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-Renee.html#Patient_Renee-patient\">Renee 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/renee-med-1",
              "display" : "aspirin 75 mg"
            },
            "subject" : {
              "reference" : "Patient/Renee-patient",
              "display" : "Renee Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20053000",
                      "display" : "Oral use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/Renee-med-stat-2",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "Renee-med-stat-2",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_Renee-med-stat-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement Renee-med-stat-2</b></p><a name=\"Renee-med-stat-2\"> </a><a name=\"hcRenee-med-stat-2\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-Renee.html#Medication_renee-med-2\">Atorvastatin 40 mg PO nightly</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-Renee.html#Patient_Renee-patient\">Renee 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/renee-med-2",
              "display" : "Atorvastatin 40 mg PO nightly"
            },
            "subject" : {
              "reference" : "Patient/Renee-patient",
              "display" : "Renee Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20053000",
                      "display" : "Oral use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/Renee-med-stat-3",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "Renee-med-stat-3",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_Renee-med-stat-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement Renee-med-stat-3</b></p><a name=\"Renee-med-stat-3\"> </a><a name=\"hcRenee-med-stat-3\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-Renee.html#Medication_renee-med-3\">Furosemide 20 mg PO AM (↑ PRN)</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-Renee.html#Patient_Renee-patient\">Renee 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/renee-med-3",
              "display" : "Furosemide 20 mg PO AM (↑ PRN)"
            },
            "subject" : {
              "reference" : "Patient/Renee-patient",
              "display" : "Renee Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20053000",
                      "display" : "Oral use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/Renee-med-stat-4",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "Renee-med-stat-4",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_Renee-med-stat-4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement Renee-med-stat-4</b></p><a name=\"Renee-med-stat-4\"> </a><a name=\"hcRenee-med-stat-4\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-Renee.html#Medication_renee-med-4\">Ramipril 1.25 mg PO nightly (titrate q1-2 wk)</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-Renee.html#Patient_Renee-patient\">Renee 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/renee-med-4",
              "display" : "Ramipril 1.25 mg PO nightly (titrate q1-2 wk)"
            },
            "subject" : {
              "reference" : "Patient/Renee-patient",
              "display" : "Renee Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20053000",
                      "display" : "Oral use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/Renee-med-stat-5",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "Renee-med-stat-5",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_Renee-med-stat-5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement Renee-med-stat-5</b></p><a name=\"Renee-med-stat-5\"> </a><a name=\"hcRenee-med-stat-5\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-Renee.html#Medication_renee-med-5\">Loratadine</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-Renee.html#Patient_Renee-patient\">Renee 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/renee-med-5",
              "display" : "Loratadine"
            },
            "subject" : {
              "reference" : "Patient/Renee-patient",
              "display" : "Renee Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20053000",
                      "display" : "Oral use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Medication/renee-med-1",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "renee-med-1",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_renee-med-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication renee-med-1</b></p><a name=\"renee-med-1\"> </a><a name=\"hcrenee-med-1\"> </a><p><b>code</b>: <span title=\"Codes:{https://www.gravitatehealth.eu/sid/doc himss-Aspirin}\">Aspirin 75 mg</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 XK4IUX8MNB}\">HYPERICUM PERFORATUM WHOLE</span></td><td>75 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span>/1 Tablet<span style=\"background: LightGoldenRodYellow\"> (Details: EDQM Standard Terms  code15054000 = 'Tablet')</span></td></tr></table></div>"
            },
            "code" : {
              "coding" : [
                {
                  "system" : "https://www.gravitatehealth.eu/sid/doc",
                  "code" : "himss-Aspirin",
                  "display" : "Aspirin 75 mg"
                }
              ]
            },
            "form" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "10219000",
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                {
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