Section 1a: Clinical Document Architecture (CDA®)
Section 3: Implementation Guides
HL7 CDA® R2 Implementation Guide International Patient Summary, Release 1
DESCRIPTION
An International Patient Summary (IPS) document is an electronic health record extract containing essential healthcare information intended for use in the unscheduled, cross-border care scenario, comprising at least the required elements of the IPS dataset. The IPS dataset is a minimal and non-exhaustive patient summary dataset, specialty agnostic, condition-independent, but readily usable by clinicians for the cross-border unscheduled care of a patient.
Find the spec online at https://hl7.org/fhir/uv/ips/STU1
ALTERNATIVE NAMES
HL7 CDA® R2 Implementation Guide International Patient Summary, Release 1 may also go by the following names or acronyms:
TARGETS
- Standards Development Organizations (SDOs)
- EHR, PHR Vendors
- Health Care IT Vendors
- Lab Vendors
- HIS Vendors
- Emergency Services Providers
- Local and State Departments of Health
- Healthcare Institutions (hospitals, long term care, home care, mental health)
BENEFITS
- Increases patient empowerment and the promotion of individual and community health in a global environment
- Enables innovative ecosystem of eHealth/Health IT that supports the electronic exchange of human- and machine-readable health, clinical, medical and management information to advance the health of individuals and communities
IMPLEMENTATIONS/CASE STUDIES
-
Sponsor Agencies
- ONC
- European Commission
DEVELOPMENT BACKGROUND
This Implementation Guide has drawn upon the results of multiple previous projects on patient summaries (including but not limited to epSOS, ONC S&I, Trillium Bridge, Sequoia eHealth Exchange), rules and recommendations for vocabularies and value sets (in multilingual settings) and templates for the implementation of international patient summary documents.
The idea of the International Patient Summary has been one of the main results of the 2010 EU/US Memorandum of Understanding through its two operational arms: the European project Trillium Bridge and the Interoperability of EHR work group formed under the ONC Standards and Interoperability Framework (ONC S&I) EU/US eHealth Cooperation Initiative. These initiatives identified the need for common templates and vocabularies for the patient summary.
The Joint Initiative Council (JIC) on SDO Global Health Informatics Standardization has initiated the standard sets project with patient summary as its pilot; and the IPS became one of the main subjects of the new EU / US roadmap , having as a declared goal “to enable a standardized international patient summary (IPS) to be in use by 2020.”
The first standardization activity concerning the IPS was initially promoted in April 2014 by ONC within HL7 International. The project was called “INTERnational PAtient Summary (INTERPAS)”. In May 2016, the European Commission granted an Agreement with CEN/ TC 251, recognizing the need to effectively support the leadership and active participation in IPS standardization activities. Thanks to the new boost from the European Commission (EC) and ONC a revision of the HL7 project was started in May 2016, as well as the standardization activities in CEN/TC 251 for the European standards on Patient Summaries. Since the beginning of this new phase, the initiatives were envisaged as a single common IPS project supported by different organizations; where the CEN/TC 251 and the HL7 teams worked together, taking in account the inputs of the JIC Standard Sets initiative on Patient Summary, with the common intent of developing coherent set of standards to support the International Patient Summary concept.
To expedite progress it was also agreed to set up an informal collaboration, promoting a continuous alignment process between the two SDO-specific projects, thanks also to a cross-participation in the project teams. Overlaps have thus been minimized: the CEN/TC 251 activities have been focused on the IPS dataset, formalized by the CEN/TC 251 Draft European standard (prEN) 17269:2018: The Patient Summary for Unscheduled, Cross-border Care" (the CEN/TC 251 prEN 17269:2018 PS); the HL7 ones initially on its implementation based on HL7 CDA R2 - this guide - and next on FHIR (the HL7 IPS FHIR IG).
A formal agreement between HL7 International and CEN/TC 251 has been finally signed in April 2017 in which these organizations established “in order to further the care for citizens across the globe <…> to collaborate on a single, common International Patient Summary (IPS) specification”; and that “the IPS specification shall focus on a minimal and non-exhaustive Patient Summary dataset, which is specialty-agnostic and condition-independent, but still clinically relevant.”
RELATED DOCUMENTS
HL7 CDA® R2 Implementation Guide International Patient Summary, Release 1 |
STU DOCUMENTS
HL7 CDA® R2 Implementation Guide International Patient Summary, Release 1 | (Submit Feedback on STU) |
(Download) (15.96 MB) |
TOPICS
- Care Provision
- Clinical Statement
- Laboratory
- Medical Records
- Patient Care
- Pharmacy
BALLOT TYPE
- STU
STATUS DATE
2018-10-25RESPONSIBLE WORK GROUP
STAKEHOLDERS
- Emergency Services Providers
- Healthcare Institutions
- HIS Vendors
- Lab Vendors
- Local and State Departments of Health
- Standards Development Organizations (SDOs)
FAMILY
- CDA
CURRENT STATE
- Active
REALM
- Universal