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

## : Matilda Gravitate's IPS - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "gravitate-Matilda",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"
        ]
      },
      "identifier" : {
        "system" : "https://www.gravitatehealth.eu/sid/doc",
        "value" : "Matilda-ips-1"
      },
      "type" : "document",
      "timestamp" : "2021-04-18T09:22:00+02:00",
      "entry" : [
        {
          "fullUrl" : "https://myserver.org/Composition/matilda-comp",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "gravitate-Matilda",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_gravitate-Matilda\"> </a><b>Id:</b> gravitate-Matilda<br/><b>status:</b> final<br/><b>Type:</b> Patient summary Document<br/><b>Subject:</b> Matilda 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-matilda-cond-1.html\">Crohn's disease</a></li><br/></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-matilda-med-stat-1.html\">Humira 40 mg</a></li><br/><li><b>Entry:</b> <a href=\"MedicationStatement-matilda-med-stat-2.html\">Paracetamol 500 mg</a></li><br/><li><b>Entry:</b> <a href=\"MedicationStatement-matilda-med-stat-3.html\">Pentasa 1g mesalazine</a></li><br/></ul></ul></div>"
            },
            "status" : "final",
            "type" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "60591-5",
                  "display" : "Patient summary Document"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/matilda-patient",
              "display" : "Matilda Gravitate"
            },
            "date" : "2018-07-10T15:22:00+02:00",
            "author" : [
              {
                "reference" : "Practitioner/matilda-pract",
                "display" : "Dr. Ana Lopez"
              }
            ],
            "title" : "Patient Summary (Matilda Gravitate)",
            "confidentiality" : "N",
            "section" : [
              {
                "title" : "Problem List",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "11450-4",
                      "display" : "Problem list Reported"
                    }
                  ]
                },
                "entry" : [
                  {
                    "reference" : "Condition/matilda-cond-1",
                    "display" : "Crohn's disease"
                  }
                ]
              },
              {
                "title" : "Medication Summary",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "10160-0",
                      "display" : "Hx of Medication use"
                    }
                  ]
                },
                "entry" : [
                  {
                    "reference" : "MedicationStatement/matilda-med-stat-1",
                    "display" : "Humira 40 mg"
                  },
                  {
                    "reference" : "MedicationStatement/matilda-med-stat-2",
                    "display" : "Paracetamol 500 mg"
                  },
                  {
                    "reference" : "MedicationStatement/matilda-med-stat-3",
                    "display" : "Pentasa 1g mesalazine"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Patient/matilda-patient",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "matilda-patient",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_matilda-patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient matilda-patient</b></p><a name=\"matilda-patient\"> </a><a name=\"hcmatilda-patient\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Matilda Gravitate  Female, DoB: 1950-09-01 ( https://www.gravitatehealth.eu/sid/doc#Matilda-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=\"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 ES}\">Spain</span></li></ul></td></tr></table></div>"
            },
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "code",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "urn:iso:std:iso:3166",
                          "code" : "ES",
                          "display" : "Spain"
                        }
                      ]
                    }
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship"
              }
            ],
            "identifier" : [
              {
                "system" : "https://www.gravitatehealth.eu/sid/doc",
                "value" : "Matilda-1"
              }
            ],
            "active" : true,
            "name" : [
              {
                "family" : "Gravitate",
                "given" : [
                  "Matilda"
                ]
              }
            ],
            "gender" : "female",
            "birthDate" : "1950-09-01"
          }
        },
        {
          "fullUrl" : "https://myserver.org/Practitioner/matilda-pract",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "matilda-pract",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_matilda-pract\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner matilda-pract</b></p><a name=\"matilda-pract\"> </a><a name=\"hcmatilda-pract\"> </a><p><b>name</b>: Ana Lopez </p></div>"
            },
            "name" : [
              {
                "family" : "Lopez",
                "given" : [
                  "Ana"
                ],
                "prefix" : [
                  "Dr."
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Condition/matilda-cond-1",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "matilda-cond-1",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_matilda-cond-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition matilda-cond-1</b></p><a name=\"matilda-cond-1\"> </a><a name=\"hcmatilda-cond-1\"> </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 34000006}\">Crohn's disease</span></p><p><b>subject</b>: <a href=\"Bundle-gravitate-Matilda.html#Patient_matilda-patient\">Matilda Gravitate</a></p><p><b>onset</b>: 2015</p><p><b>asserter</b>: <a href=\"Bundle-gravitate-Matilda.html#Practitioner_matilda-pract\">Dr. Ana Lopez</a></p></div>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active"
                }
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "34000006",
                  "display" : "Crohn's disease"
                }
              ],
              "text" : "Crohn's disease"
            },
            "subject" : {
              "reference" : "Patient/matilda-patient",
              "display" : "Matilda Gravitate"
            },
            "onsetDateTime" : "2015",
            "asserter" : {
              "reference" : "Practitioner/matilda-pract",
              "display" : "Dr. Ana Lopez"
            }
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/matilda-med-stat-1",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "matilda-med-stat-1",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_matilda-med-stat-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement matilda-med-stat-1</b></p><a name=\"matilda-med-stat-1\"> </a><a name=\"hcmatilda-med-stat-1\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-Matilda.html#Medication_9d7be868-8264-4d94-ad04-ef04ecc92e51\">Humira 40 mg</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-Matilda.html#Patient_matilda-patient\">Matilda 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 20066000}\">Subcutaneous use</span></td></tr></table></div>"
            },
            "status" : "active",
            "medicationReference" : {
              "reference" : "Medication/9d7be868-8264-4d94-ad04-ef04ecc92e51",
              "display" : "Humira 40 mg"
            },
            "subject" : {
              "reference" : "Patient/matilda-patient",
              "display" : "Matilda Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20066000",
                      "display" : "Subcutaneous use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/matilda-med-stat-2",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "matilda-med-stat-2",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_matilda-med-stat-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement matilda-med-stat-2</b></p><a name=\"matilda-med-stat-2\"> </a><a name=\"hcmatilda-med-stat-2\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-Matilda.html#Medication_fdb5c97f-0a46-41ba-bc34-2efd2ef2f7et\">PARACETAMOL 1000 MG</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-Matilda.html#Patient_matilda-patient\">Matilda 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/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7et",
              "display" : "PARACETAMOL 1000 MG"
            },
            "subject" : {
              "reference" : "Patient/matilda-patient",
              "display" : "Matilda Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20053000",
                      "display" : "Oral use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/MedicationStatement/matilda-med-stat-3",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "matilda-med-stat-3",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_matilda-med-stat-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement matilda-med-stat-3</b></p><a name=\"matilda-med-stat-3\"> </a><a name=\"hcmatilda-med-stat-3\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-gravitate-Matilda.html#Medication_fdb5c97f-0a46-41ba-bc34-2efd2ef2f7eu\">Pentasa 1g mesalazine</a></p><p><b>subject</b>: <a href=\"Bundle-gravitate-Matilda.html#Patient_matilda-patient\">Matilda 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/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7eu",
              "display" : "Pentasa 1g mesalazine"
            },
            "subject" : {
              "reference" : "Patient/matilda-patient",
              "display" : "Matilda Gravitate"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20053000",
                      "display" : "Oral use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Medication/9d7be868-8264-4d94-ad04-ef04ecc92e51",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "9d7be868-8264-4d94-ad04-ef04ecc92e51",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_9d7be868-8264-4d94-ad04-ef04ecc92e51\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication 9d7be868-8264-4d94-ad04-ef04ecc92e51</b></p><a name=\"9d7be868-8264-4d94-ad04-ef04ecc92e51\"> </a><a name=\"hc9d7be868-8264-4d94-ad04-ef04ecc92e51\"> </a><p><b>code</b>: <span title=\"Codes:{https://spor.ema.europa.eu/pmswi EU/1/03/256/022}, {https://www.who-umc.org/phpid 0xe72f98caa2b13cb3ccb489a1a7945c91}, {http://www.whocc.no/atc L04AB04}\">Humira 40 mg</span></p><p><b>form</b>: <span title=\"Codes:{http://standardterms.edqm.eu 11201000}\">Solution 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 FYS6T7F842}\">adalimumab</span></td><td>40 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</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/1/03/256/022",
                  "display" : "Humira 40 mg"
                },
                {
                  "system" : "https://www.who-umc.org/phpid",
                  "code" : "0xe72f98caa2b13cb3ccb489a1a7945c91",
                  "display" : "Humira 40 mg solution for injection in pre-filled syringe 2 pre-filled syringes + 2 alcohol pads"
                },
                {
                  "system" : "http://www.whocc.no/atc",
                  "code" : "L04AB04",
                  "display" : "adalimumab"
                }
              ]
            },
            "form" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "11201000",
                  "display" : "Solution for injection"
                }
              ]
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fdasis.nlm.nih.gov",
                      "code" : "FYS6T7F842",
                      "display" : "adalimumab"
                    }
                  ],
                  "text" : "adalimumab"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 40,
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "system" : "http://unitsofmeasure.org",
                    "code" : "ml"
                  }
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7et",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "fdb5c97f-0a46-41ba-bc34-2efd2ef2f7et",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_fdb5c97f-0a46-41ba-bc34-2efd2ef2f7et\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication fdb5c97f-0a46-41ba-bc34-2efd2ef2f7et</b></p><a name=\"fdb5c97f-0a46-41ba-bc34-2efd2ef2f7et\"> </a><a name=\"hcfdb5c97f-0a46-41ba-bc34-2efd2ef2f7et\"> </a><p><b>code</b>: <span title=\"Codes:{https://spor.ema.europa.eu/pmswi 72.741}, {https://www.who-umc.org/phpid 0xE857DA811B4A6F3BD57810C45D2EA1ED}, {http://www.whocc.no/atc N02BE01}\">DOLOCATIL 1 g tablets</span></p><p><b>form</b>: <span title=\"Codes:{http://standardterms.edqm.eu 10220000}\">Coated 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 362O9ITL9D}\">ACETAMINOPHEN</span></td><td>1000 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://spor.ema.europa.eu/pmswi",
                  "code" : "72.741",
                  "display" : "DOLOCATIL 1 g tablets"
                },
                {
                  "system" : "https://www.who-umc.org/phpid",
                  "code" : "0xE857DA811B4A6F3BD57810C45D2EA1ED",
                  "display" : "Paracetamol 1g tablets"
                },
                {
                  "system" : "http://www.whocc.no/atc",
                  "code" : "N02BE01",
                  "display" : "paracetamol"
                }
              ]
            },
            "form" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "10220000",
                  "display" : "Coated tablet"
                }
              ]
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fdasis.nlm.nih.gov",
                      "code" : "362O9ITL9D",
                      "display" : "ACETAMINOPHEN"
                    }
                  ],
                  "text" : "ACETAMINOPHEN"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 1000,
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "Tablet",
                    "system" : "http://standardterms.edqm.eu",
                    "code" : "15054000"
                  }
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://myserver.org/Medication/fdb5c97f-0a46-41ba-bc34-2efd2ef2f7eu",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "fdb5c97f-0a46-41ba-bc34-2efd2ef2f7eu",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_fdb5c97f-0a46-41ba-bc34-2efd2ef2f7eu\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication fdb5c97f-0a46-41ba-bc34-2efd2ef2f7eu</b></p><a name=\"fdb5c97f-0a46-41ba-bc34-2efd2ef2f7eu\"> </a><a name=\"hcfdb5c97f-0a46-41ba-bc34-2efd2ef2f7eu\"> </a><p><b>code</b>: <span title=\"Codes:{https://spor.ema.europa.eu/pmswi 77022}, {https://www.who-umc.org/phpid 0xF79CABF272B6A7EEF104DDDA44E827xx}, {http://www.whocc.no/atc A07EC02}\">Pentasa Slow Release Tablets 1g</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 4Q81I59GXC}\">MESALAMINE</span></td><td>1000 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://spor.ema.europa.eu/pmswi",
                  "code" : "77022",
                  "display" : "Pentasa Slow Release Tablets 1g"
                },
                {
                  "system" : "https://www.who-umc.org/phpid",
                  "code" : "0xF79CABF272B6A7EEF104DDDA44E827xx",
                  "display" : "Mesalazine, 1g, Tablets"
                },
                {
                  "system" : "http://www.whocc.no/atc",
                  "code" : "A07EC02",
                  "display" : "mesalazine"
                }
              ]
            },
            "form" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "10219000",
                  "display" : "Tablet"
                }
              ],
              "text" : "Tablet"
            },
            "ingredient" : [
              {
                "itemCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://fdasis.nlm.nih.gov",
                      "code" : "4Q81I59GXC",
                      "display" : "MESALAMINE"
                    }
                  ],
                  "text" : "MESALAMINE"
                },
                "strength" : {
                  "numerator" : {
                    "value" : 1000,
                    "system" : "http://unitsofmeasure.org",
                    "code" : "mg"
                  },
                  "denominator" : {
                    "value" : 1,
                    "unit" : "Tablet",
                    "system" : "http://standardterms.edqm.eu",
                    "code" : "15054000"
                  }
                }
              }
            ]
          }
        }
      ]
    }