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Id1.2.40.0.34.777.14.10.1Gültigkeit ab2024‑11‑20 09:27:34
StatusKyellow.png EntwurfVersions-Label2024
NameHL7-IPSBezeichnungInternational Patient Summary
Beschreibung
EN-US.png

The International Patient Summary is a "Minimal and non-exhaustive Patient Summary, specialty-agnostic, condition-independent, but readily usable by all clinicians for the unscheduled (cross-border) care of a patient."

The IPS templates aim to:

  • Serve for both cross-jurisdictional (through adaptation/extension for multi-language and realm scenarios, including translation) and national (through localization) patient summaries.

  • Support emergency care and unplanned care in any country (home and foreign), regardless of language

  • Define value sets based on international vocabularies that are usable and understandable in any country  

KontextPfadname /
KlassifikationCDA Document Level Template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt
Benutzt 1 Template
Benutzt als NameVersion
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2ContainmentKgreen.png IHE Coded Vital Signs Section (2014)DYNAMIC
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.22.1.2 International Patient Summary (2024‑08‑02 13:02:39)
ref
hl7ips-

Spezialisierung: Template 2.16.840.1.113883.10.22.1.1 International Patient Summary (2020‑07‑14 16:08:21)
ref
hl7ips-

Version: Template 2.16.840.1.113883.10.22.1.1 International Patient Summary (2020‑05‑08 12:30:59)
ref
hl7ips-

Version: Template 2.16.840.1.113883.10.22.1.1 International Patient Summary (2017‑04‑11)
ref
hl7ips-

Adaptation: Template 1.3.6.1.4.1.12559.11.10.1.3.1.1.3 epSOS-Patient Summary (2013‑12‑20)
ref
epsos-

Adaptation: Template 2.16.840.1.113883.10.12.1 CDA ClinicalDocument (2005‑09‑07)
ref
ad1bbr-
Beispiel
Beispiel
<ClinicalDocument>
  <realmCode code="ES"/>  <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>  <templateId root="2.16.840.1.113883.10.22.1.1"/>  <id root="2.16.724.4.8.10.200.10" extension="PSCTD0160f274530a031"/>  <code displayName="Patient Summary" code="60591-5" codeSystem="2.16.840.1.113883.6.1">
    <title>Patient Summary</title>    <effectiveTime value="20111113125600+0200"/>    <confidentialityCode code="N" displayName="normal" codeSystem="2.16.840.1.113883.5.25"/>    <languageCode code="es-ES"/>    <setId root="2.16.724.4.8.10.200.10" extension="PSCTD0160f274530a031S"/>    <versionNumber value="2"/>    <!-- include template 2.16.840.1.113883.10.22.2.1 'IPS CDA recordTarget' (dynamic) 1..1 M -->
    <!-- include template 2.16.840.1.113883.10.22.2.2 'IPS CDA author' (dynamic) 1..* M -->
    <!-- include template 2.16.840.1.113883.10.22.2.3 'IPS CDA custodian' (dynamic) 1..1 M -->
    <!-- include template 2.16.840.1.113883.10.22.2.4 'IPS CDA legalAuthenticator' (dynamic) 0..1 R -->
    <!-- include template 2.16.840.1.113883.10.22.2.5 'IPS Patient Contacts' (dynamic) 0..* O -->
    <!-- include template 2.16.840.1.113883.10.22.2.6 'IPS CDA documentationOf ' (dynamic) 1..1 M -->
    <!-- include template 2.16.840.1.113883.10.22.2.7 'IPS CDA relatedDocument' (dynamic) 0..* R -->
    <component>
      <structuredBody classCode="DOCBODY">
        <component>
          <!-- template 2.16.840.1.113883.10.22.3.1 'IPS Medication Summary Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.3.2 'IPS Allergies and Intolerances Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.3.3 'IPS Problems Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.3.4 'IPS History of Procedures Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.3.5 'IPS Immunizations Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.3.6 'IPS Medical Devices Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.3.7 'IPS History of Past Illness Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.3.14 'IPS Results Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.3.8 'IPS Functional Status Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.3.9 'IPS Plan of Treatment Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.3.10 'IPS Social History Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.3.11 'IPS History of Pregnancy Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.3.12 'IPS Advance Directives Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.15 'IPS Alerts Section' (dynamic) -->
        </component>        <component>
          <!-- template 2.16.840.1.113883.10.22.16 'IPS Patient Story Section' (dynamic) -->
        </component>      </structuredBody>    </component>  </code></ClinicalDocument>
ItemDTKardKonfBeschreibungLabel
hl7:ClinicalDocument
REN-US.png CDA header
Treetree.pnghl7:realmCode
CS0 … 1R
Treetree.pnghl7:typeId
II1 … 1MEN-US.png The clinical document typeId identifies the constraints imposed by CDA R2 on the content, essentially acting as a version identifier.

Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.1.3
Treeblank.pngTreetree.png@extension
st1 … 1FPOCD_HD000040
 Beispiel<typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
Treetree.pnghl7:templateId
II1 … 1M
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.1.1
Treetree.pnghl7:id
II1 … 1MEN-US.png Unique identifier of this instance of the Patient Summary.
Treetree.pnghl7:code
CE.IPS1 … 1MEN-US.png Determines the document type that is the "Patient Summary" document
Treeblank.pngTreetree.png@displayName
1 … 1R
Treeblank.pngTreetree.png@code
CONF1 … 1F60591-5
Treeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.6.1 (LOINC)
 Beispiel<code code="60591-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Patient Summary"/>
Treeblank.pngTreetree.pnghl7:translation
CD.IPS0 … *REN-US.png This element can be here used either to provide the originally used document code if this IPS is the result of a transformation.
Treetree.pnghl7:title
ST1 … 1MEN-US.png ClinicalDocument/title is used for display purposes.
Treetree.pnghl7:effectiveTime
TS.IPS.TZ1 … 1MEN-US.png Time of creation of the Patient Summary
 Beispiel<effectiveTime value="20111113125600+0200"/>
Treetree.pnghl7:confidentialityCode
CE.IPS1 … 1R
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.16926 x_BasicConfidentialityKind (DYNAMIC)
 Beispiel<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" displayName="normal"/>
Treetree.pnghl7:language​Code
CS1 … 1MEN-US.png Document Language Code
 ConstraintEN-US.png The two characters form SHALL be used when available; otherwise the three characters representation SHALL be adopted
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.4.642.3.21 (DYNAMIC)
 Beispiel<languageCode code="en-GB"/>
 Beispiel<languageCode code="fil-PH"/>
 Schematron assertrole error 
 testmatches(@code,'[a-z]{2,3}-[A-Z]{2,3}') 
 MeldungThe language code SHALL be in the form nn-CC or nnn-CCC, in accordance with BCP 47 (e.g. nn is the ISO language code; CC is ISO country code) 
Treetree.pnghl7:setId
II0 … 1REN-US.png

This attribute “represents an identifier that is common across all document revisions”.

In the case the IPS instance is generated as result of one or more transformations (translation/transcoding) the setId is supposed to remain unchanged across all those transformations.

Implementers are recommended to use this attribute.

Treetree.pnghl7:versionNumber
0 … 1R
Eingefügt1 … 1M von 2.16.840.1.113883.10.22.2.1 (DYNAMIC)
 Inklusion
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.2.1" (DYNAMIC) nicht finden
Eingefügt1 … *M von 2.16.840.1.113883.10.22.2.2 (DYNAMIC)
 Inklusion
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.2.2" (DYNAMIC) nicht finden
Eingefügt1 … 1M von 2.16.840.1.113883.10.22.2.3 (DYNAMIC)
 Inklusion
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.2.3" (DYNAMIC) nicht finden
Eingefügt0 … 1R von 2.16.840.1.113883.10.22.2.4 (DYNAMIC)
 Inklusion
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.2.4" (DYNAMIC) nicht finden
Eingefügt0 … * von 2.16.840.1.113883.10.22.2.5 (DYNAMIC)
 Inklusion
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.2.5" (DYNAMIC) nicht finden
Eingefügt1 … 1M von 2.16.840.1.113883.10.22.2.6 (DYNAMIC)
 Inklusion
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.2.6" (DYNAMIC) nicht finden
Eingefügt0 … 2R von 2.16.840.1.113883.10.22.2.7 (DYNAMIC)
 ConstraintEN-US.png A conformant CDA document can have:
  • a single relatedDocument with typeCode "APND"; OR
  • a single relatedDocument with typeCode "RPLC"; OR
  • a single relatedDocument with typeCode "XFRM";  OR
  • a combination of two relatedDocuments with typeCodes "XFRM" and "RPLC"; OR
  • a combination of two relatedDocuments with typeCodes "XFRM" and "APND". 
No other combinations are allowed. 
 Inklusion
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.2.7" (DYNAMIC) nicht finden
Treetree.pnghl7:component
1 … 1M
Treeblank.pngTreetree.pnghl7:structuredBody
1 … 1MEN-US.png Note: the proposed order of the sections hereafter indicated is not mandatory
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FDOCBODY
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
1 … 1MBeinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.3.1" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
1 … 1MBeinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.3.2" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
1 … 1MBeinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.3.3" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1RBeinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.3.4" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1RBeinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.3.5" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1RBeinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.3.6" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1RBeinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.3.14" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1RBeinhaltet 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 IHE Coded Vital Signs Section (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1Beinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.3.7" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1Beinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.3.8" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1Beinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.3.9" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1Beinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.3.10" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1Beinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.3.11" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1Beinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.3.12" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1Beinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.15" (DYNAMIC) nicht finden
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1Beinhaltet
Alert.pngFehler: Kann das Template "2.16.840.1.113883.10.22.16" (DYNAMIC) nicht finden
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