Source | hl7.fhir.uv.ips#current:International Patient Summary Implementation Guide (v4.0.1) |
resourceType | StructureDefinition |
id | Composition-uv-ips |
canonical | http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips |
version | 1.1.0 |
status | active |
publisher | Health Level Seven International - Patient Care Work Group |
name | CompositionUvIps |
title | Composition (IPS) |
date | 2022-12-07T16:31:31+00:00 |
description | Clinical document used to represent the International Patient Summary (IPS) data set. An International Patient Summary (IPS) document is an electronic health record extract containing essential healthcare information about a subject of care. The IPS dataset is minimal and non-exhaustive; specialty-agnostic and condition-independent; but still clinically relevant. As specified in EN 17269 and ISO 27269, it is designed for supporting the use case scenario for ‘unplanned, cross border care’, but it is not limited to it. It is intended to be international, i.e., to provide generic solutions for global application beyond a particular region or country. This profile is based on the ClinicalDocument profile. |
copyright | HL7 International |
jurisdictions | uv |
fhirVersion | 4.0.1 |
kind | resource |
abstract | false |
sdTtype | Composition |
derivation | constraint |
base | http://hl7.org/fhir/StructureDefinition/clinicaldocument |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | ClinicalDocument | International Patient Summary composition | ||
text | S | |||
identifier | S | |||
status | S | |||
type | S | CodeableConcept |
Kind of composition ("Patient Summary") Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 60591-5 |
|
subject | S | 1.. | Reference (Patient (IPS)) | |
reference | S | 1.. | ||
encounter | ||||
date | S | |||
author | S | Who and/or what authored the IPS | ||
title | S | International Patient Summary | ||
confidentiality | ||||
attester | S | |||
mode | S | |||
time | S | |||
party | S | |||
custodian | S | |||
relatesTo | ||||
code | ||||
target[x] | ||||
targetIdentifier | Identifier | |||
targetReference | Reference ( Composition | Composition (IPS)) | |||
Slices for event | Slice: Unordered, Open by pattern:code | |||
event:careProvisioningEvent | S | ..1 | The care provisioning being documented | |
code | S | 1..1 | Required Pattern: At least the following | |
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: PCPR |
|
period | S | |||
Slices for section | S | 1 .. |
Sections composing the IPS
Slice: Unordered, Open by pattern:code |
|
section:All Slices | Content/Rules for all slices | |||
code | S | 1.. | CodeableConcept | |
text | S | 1.. | ||
emptyReason | .. 0 | |||
section | .. 0 | |||
section:sectionMedications | S | 1..1 | IPS Medication Summary Section | |
title | S | 1.. | Medication Summary section | |
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 10160-0 |
|
Slices for entry | S | 1 .. | Reference ( MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference ) |
Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve() |
entry:medicationStatement | Reference (Medication Statement (IPS)) | |||
entry:medicationRequest | Reference (Medication Request (IPS)) | |||
section:sectionAllergies | S | 1..1 | IPS Allergies and Intolerances Section | |
title | S | 1.. | ||
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 48765-2 |
|
Slices for entry | S | 1 .. | Reference ( AllergyIntolerance | DocumentReference ) |
Relevant allergies or intolerances (conditions) for that patient.
Slice: Unordered, Open by profile:resolve() |
entry:allergyOrIntolerance | S | 1.. | Reference (Allergy Intolerance (IPS)) | |
section:sectionProblems | S | 1..1 | IPS Problems Section | |
title | S | 1.. | ||
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 11450-4 |
|
Slices for entry | S | 1 .. | Reference ( Condition | DocumentReference ) |
Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:resolve() |
entry:problem | S | 1.. | Reference (Condition (IPS)) | |
section:sectionProceduresHx | S | ..1 | IPS History of Procedures Section | |
title | S | 1.. | ||
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 47519-4 |
|
Slices for entry | S | 1 .. | Reference ( Procedure | DocumentReference ) |
Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:resolve() |
entry:procedure | S | 1.. | Reference (Procedure (IPS)) | |
section:sectionImmunizations | S | ..1 | IPS Immunizations Section | |
title | S | 1.. | ||
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 11369-6 |
|
Slices for entry | S | 1 .. | Reference ( Immunization | DocumentReference ) |
Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:resolve() |
entry:immunization | S | 1.. | Reference (Immunization (IPS)) | |
section:sectionMedicalDevices | S | ..1 | IPS Medical Devices Section | |
title | S | 1.. | ||
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 46264-8 |
|
Slices for entry | S | 1 .. | Reference ( DeviceUseStatement | DocumentReference ) |
Patient history of medical device use.
Slice: Unordered, Open by profile:resolve() |
entry:deviceStatement | S | 1.. | Reference (Device Use Statement (IPS)) | |
section:sectionResults | S | ..1 | IPS Results Section | |
title | S | 1.. | ||
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 30954-2 |
|
Slices for entry | S | 1 .. | Reference ( Observation | DiagnosticReport | DocumentReference ) |
Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:resolve(), profile:resolve() |
entry:results-observation | S | Reference (Observation Results (IPS)) | ||
entry:results-diagnosticReport | S | Reference (DiagnosticReport (IPS)) | ||
section:sectionVitalSigns | ..1 | IPS Vital Signs Section | ||
title | 1.. | |||
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 8716-3 |
|
Slices for entry | Reference ( Observation | DocumentReference ) |
Notable vital signs or physical findings.
Slice: Unordered, Open by profile:resolve() |
||
entry:vitalSign | Reference ( Vital Signs Profile ) | |||
section:sectionPastIllnessHx | ..1 | IPS History of Past Illness Section | ||
title | 1.. | |||
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 11348-0 |
|
Slices for entry | 1 .. | Reference ( Condition | DocumentReference ) |
Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:resolve() |
|
entry:pastProblem | 1.. | Reference (Condition (IPS)) | ||
section:sectionFunctionalStatus | ..1 | IPS Functional Status | ||
title | 1.. | |||
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 47420-5 |
|
Slices for entry | Reference ( Condition | ClinicalImpression | DocumentReference ) |
Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:resolve() |
||
entry:disability | Reference (Condition (IPS)) | |||
entry:functionalAssessment | Reference ( ClinicalImpression ) | |||
section:sectionPlanOfCare | ..1 | IPS Plan of Care Section | ||
title | 1.. | |||
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 18776-5 |
|
Slices for entry | Reference ( CarePlan | DocumentReference ) |
Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:resolve() |
||
entry:carePlan | Reference ( CarePlan ) | |||
section:sectionSocialHistory | ..1 | IPS Social History Section | ||
title | 1.. | |||
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 29762-2 |
|
Slices for entry | Reference ( Observation | DocumentReference ) |
Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:resolve() |
||
entry:smokingTobaccoUse | ..1 | Reference (Observation - SH: tobacco use) | ||
entry:alcoholUse | ..1 | Reference (Observation - SH: alcohol use) | ||
section:sectionPregnancyHx | ..1 | IPS History of Pregnancy Section | ||
title | 1.. | |||
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 10162-6 |
|
Slices for entry | Reference ( Observation | DocumentReference ) |
Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:resolve() |
||
entry:pregnancyStatus | Reference (Observation - Pregnancy: status) | |||
entry:pregnancyOutcomeSummary | Reference (Observation - Pregnancy: outcome) | |||
section:sectionAdvanceDirectives | ..1 | IPS Advance Directives Section | ||
title | 1.. | |||
code | Required Pattern: At least the following | |||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 42348-3 |
|
Slices for entry | Reference ( Consent | DocumentReference ) |
Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:resolve() |
||
entry:advanceDirectivesConsent | Reference ( Consent ) | |||
Documentation for this format |
Produced 08 Sep 2023