Id2.16.840.1.113883.10.22.1.1
ref
hl7ips-
Gültigkeit ab2020‑05‑08 12:30:59
Statuspending Unter Revision vor der PublikationVersions-LabelTI-2020
NameHL7-IPSBezeichnungInternational Patient Summary
Beschreibung
en-US

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 von / Benutzt
Benutzt von 0 Transactions und 0 Templates, Benutzt 21 Templates
Benutzt als NameVersion
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2ContainmentDYNAMIC
2.16.840.1.113883.10.22.2.1Inklusiondraft IPS CDA recordTarget (2021)DYNAMIC
2.16.840.1.113883.10.22.2.2Inklusionpending IPS CDA author (STU1)DYNAMIC
2.16.840.1.113883.10.22.2.3Inklusiondraft IPS CDA custodian (2021)DYNAMIC
2.16.840.1.113883.10.22.2.4Inklusionpending IPS CDA legalAuthenticator (STU1)DYNAMIC
2.16.840.1.113883.10.22.2.5Inklusionpending IPS Patient Contacts (STU1)DYNAMIC
2.16.840.1.113883.10.22.2.6Inklusionpending IPS CDA documentationOf (STU1)DYNAMIC
2.16.840.1.113883.10.22.2.7Inklusionpending IPS CDA relatedDocument (STU1)DYNAMIC
2.16.840.1.113883.10.22.3.1Containmentpending IPS Medication Summary Section (STU1)DYNAMIC
2.16.840.1.113883.10.22.3.2Containmentpending IPS Allergies and Intolerances Section (STU1)DYNAMIC
2.16.840.1.113883.10.22.3.3Containmentpending IPS Problems Section (STU1)DYNAMIC
2.16.840.1.113883.10.22.3.4Containmentpending IPS History of Procedures Section (STU1)DYNAMIC
2.16.840.1.113883.10.22.3.5Containmentpending IPS Immunizations Section (STU1)DYNAMIC
2.16.840.1.113883.10.22.3.6Containmentdraft IPS Medical Devices Section (2021)DYNAMIC
2.16.840.1.113883.10.22.3.7Containmentpending IPS History of Past Illness Section (STU1)DYNAMIC
2.16.840.1.113883.10.22.3.8Containmentpending IPS Functional Status Section (TI-2020)DYNAMIC
2.16.840.1.113883.10.22.3.9Containmentpending IPS Plan of Care Section (TI-2020)DYNAMIC
2.16.840.1.113883.10.22.3.10Containmentpending IPS Social History Section (TI-2020)DYNAMIC
2.16.840.1.113883.10.22.3.11Containmentpending IPS History of Pregnancy Section (TI-2020)DYNAMIC
2.16.840.1.113883.10.22.3.12Containmentpending IPS Advance Directives Section (TI-2020)DYNAMIC
2.16.840.1.113883.10.22.3.14Containmentpending IPS Results Section (STU1)DYNAMIC
BeziehungVersion: 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 (2013‑12‑20)
ref
hl7ips-

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>    </structuredBody>  </component></ClinicalDocument>
ItemDTKardKonfBeschreibungLabel
hl7:ClinicalDocument
Ren-US CDA headerHL7‑IPS
hl7:realmCode
CS1 … 1RHL7‑IPS
hl7:typeId
II1 … 1Men-US The clinical document typeId identifies the constraints imposed by CDA R2 on the content, essentially acting as a version identifier.

HL7‑IPS
@root
uid1 … 1F2.16.840.1.113883.1.3
@extension
st1 … 1FPOCD_HD000040
 Beispiel<typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
hl7:templateId
II1 … 1MHL7‑IPS
@root
uid1 … 1F2.16.840.1.113883.10.22.1.1
hl7:id
II1 … 1Men-US Unique identifier of this instance of the Patient Summary.HL7‑IPS
hl7:code
CE.IPS1 … 1Men-US Determines the document type that is the "Patient Summary" documentHL7‑IPS
@displayName
1 … 1R
@code
CONF1 … 1F60591-5
@codeSystem
1 … 1F2.16.840.1.113883.6.1
 Beispiel<code code="60591-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Patient Summary"/>
hl7:translation
CD.IPS0 … *Ren-US This element can be here used either to provide the originally used document code if this IPS is the result of a transformation.HL7‑IPS
hl7:title
ST1 … 1Men-US ClinicalDocument/title is used for display purposes.HL7‑IPS
 Beispiel<title>Patient Summary</title>
 Beispiel<title>Profilo Sanitario Sintetico</title>
hl7:effectiveTime
TS.IPS.TZ1 … 1Men-US Time of creation of the Patient SummaryHL7‑IPS
 Beispiel<effectiveTime value="20111113125600+0200"/>
hl7:confidentialityCode
CE.IPS1 … 1RHL7‑IPS
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.16926 HL7 BasicConfidentialityKind (DYNAMIC)
 Beispiel<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" displayName="normal"/>
hl7:languageCode
CS1 … 1Men-US Document Language CodeHL7‑IPS
 Constrainten-US 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 2.16.840.1.113883.11.22.19 Language Code (DYNAMIC)
 Beispiel<languageCode code="en-GB"/>
 Beispiel<languageCode code="fil-PH"/>
 Schematron assertrolered 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 country code; CC is ISO language code) 
hl7:setId
II0 … 1Ren-US

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.

HL7‑IPS
hl7:versionNumber
0 … 1RHL7‑IPS
Eingefügt1 … 1M von 2.16.840.1.113883.10.22.2.1 IPS CDA recordTarget (DYNAMIC)
hl7:recordTarget
1 … 1MIPSCdotsrget
@typeCode
cs0 … 1FRCT
@contextControlCode
cs0 … 1FOP
 Beispiel<recordTarget typeCode="RCT" contextControlCode="OP">
  <patientRole classCode="PAT">
    <id root="1.2.3.999" extension="__example only__"/>    <addr>
      <streetAddressLine>HSE M CASSAR STR</streetAddressLine>      <city>ISLA</city>      <country>MT</country>    </addr>    <telecom use="HP" value="tel:+356124567891"/>    <telecom use="WP" value="mailto:elif@foo.too.mt"/>    <patient>
      <name>
        <family>BORG</family>        <given>TANIA</given>      </name>      <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>      <birthTime value="19430130"/>      <!-- Optional guardian information ; see example below-->
      <!-- Optional languageCommunication information see example below -->
    </patient>  </patientRole></recordTarget>
hl7:patientRole
1 … 1MIPSCdotsrget
@classCode
cs0 … 1FPAT
hl7:id
II1 … *Ren-US Patient Identifiers: Primary Patient Identifier (Regional/National Health Id), Secondary Patient Identifier (Social/Insurance Number)IPSCdotsrget
hl7:addr
AD.IPS1 … *Ren-US The patient address.IPSCdotsrget
 Constrainten-US When used for cross-border exchange the country address part has to be provided.
Eingefügt von 2.16.840.1.113883.10.22.11 IPS Address (DYNAMIC)
@use
set_cs0 … 1 
 CONF
Der Wert von @use muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.10637 PostalAddressUse (2005‑05‑01)
@nullFlavor
cs0 … 1FNI
 Constrainten-US SHALL NOT have mixed content except for white space
If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.
 Schematron assertrolered error 
 test@nullFlavor or hl7:* 
 MeldungIf addr is not nullflavored at least one sub element has to be provided 
hl7:streetAddressLine
ADXP0 … *Cen-US Subject's or Organization's Street Address LineIPSAdotsress
 Schematron assertrolered error 
 testhl7:streetAddressLine and (hl7:city or hl7:postalCode) 
 MeldungIf the address line is included either the city or the zip code has to be provided 
hl7:city
ADXP0 … 1Cen-US Subject's or Organization's CityIPSAdotsress
hl7:postalCode
ADXP0 … 1Cen-US Subject's or Organization's Postal CodeIPSAdotsress
hl7:state
ADXP0 … 1Cen-US Subject's or Organization's State or ProvinceIPSAdotsress
hl7:country
ADXP0 … 1Cen-US Subject's Country.IPSAdotsress
 Constrainten-US The content of this element SHALL be selected EITHER from ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300  DYNAMIC OR MAY be selected from ISO Country Alpha-3 2.16.840.1.113883.1.11.171 DYNAMIC, IF the country is not specified in ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300.
hl7:telecom
TEL1 … *Ren-US Patient’s telecom information : e.g. telephone number, e-mail address. IPSCdotsrget
@use
set_cs0 … 1 
 CONF
Der Wert von @use muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC)
@nullFlavor
cs0 … 1FNI
 Constrainten-US If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present.
 Beispiel<telecom use="HP" value="tel:+356124567891"/>
 Beispiel<telecom use="WP" value="mailto:elif@foo.too.mt"/>
 Beispiel<telecom nullFlavor="NI"/>
hl7:patient
1 … 1MIPSCdotsrget
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
 Beispiel
Japanese example (Person Name)
<patient>
  <name use="IDE">
    <family>木村</family>    <given>通男</given>  </name>  <name use="SYL">
    <family>きむら</family>    <given>みちお</given>  </name>  <name use="ABC">
    <family>KIMURA</family>    <given>MICHIO</given>  </name>  <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male"/>  <birthTime nullFlavor="UNK"/></patient>
hl7:name
PN1 … *Men-US Patient NameIPSCdotsrget
 Constrainten-US The Alphabetic representation of the name SHALL be always provided
hl7:family
1 … *Ren-US Patient's Family Name/SurnameIPSCdotsrget
hl7:given
1 … *Ren-US Patient's Given NameIPSCdotsrget
hl7:administrativeGenderCode
CE.IPS1 … 1Ren-US Patient's GenderIPSCdotsrget
@nullFlavor
cs0 … 1FUNK
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.1 Administrative Gender (HL7 V3) (DYNAMIC)
 Beispiel<administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female">
  <translation code="2" codeSystem="2.16.840.1.113883.3.129.1.2.21" codeSystemName="Cinsiyet" displayName="Kadın"/></administrativeGenderCode>
hl7:birthTime
TS1 … 1Ren-US Patient's Date of Birth. The patient date of birth may be a partial date such as only the year.IPSCdotsrget
hl7:guardian
0 … *Ren-US

The guardians of a patient.

Other patient contacts are described using the /ClinicalDocument/participant structure. The <associatedEntity> element defines the type of contact.

IPSCdotsrget
@classCode
cs1 … 1FGUARD
 Beispiel<guardian classCode="GUARD">
  <code code="AUNT" displayName="tante" codeSystem="2.16.840.1.113883.5.111"/>  <addr nullFlavor="NI"/>  <telecom use="MC" value="tel:+33-12345678"/>  <guardianPerson>
    <name>
      <family>Curie</family>      <given>Marie</given>    </name>  </guardianPerson></guardian>
hl7:code
CD.IPS0 … 1Ren-US The relationship between the patient and the guardian or other contact may be recorded in the element. IPSCdotsrget
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19563 PersonalRelationshipRoleType (DYNAMIC)
hl7:addr
AD.IPS1 … *RIPSCdotsrget
 Constrainten-US If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.
Eingefügt von 2.16.840.1.113883.10.22.11 IPS Address (DYNAMIC)
@use
set_cs0 … 1 
 CONF
Der Wert von @use muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.10637 PostalAddressUse (2005‑05‑01)
@nullFlavor
cs0 … 1FNI
 Constrainten-US SHALL NOT have mixed content except for white space
If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.
 Schematron assertrolered error 
 test@nullFlavor or hl7:* 
 MeldungIf addr is not nullflavored at least one sub element has to be provided 
hl7:streetAddressLine
ADXP0 … *Cen-US Subject's or Organization's Street Address LineIPSAdotsress
 Schematron assertrolered error 
 testhl7:streetAddressLine and (hl7:city or hl7:postalCode) 
 MeldungIf the address line is included either the city or the zip code has to be provided 
hl7:city
ADXP0 … 1Cen-US Subject's or Organization's CityIPSAdotsress
hl7:postalCode
ADXP0 … 1Cen-US Subject's or Organization's Postal CodeIPSAdotsress
hl7:state
ADXP0 … 1Cen-US Subject's or Organization's State or ProvinceIPSAdotsress
hl7:country
ADXP0 … 1Cen-US Subject's Country.IPSAdotsress
 Constrainten-US The content of this element SHALL be selected EITHER from ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300  DYNAMIC OR MAY be selected from ISO Country Alpha-3 2.16.840.1.113883.1.11.171 DYNAMIC, IF the country is not specified in ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300.
hl7:telecom
TEL1 … *Ren-US Guardian’s telecom information: e.g. telephone number; e-mail address. IPSCdotsrget
@use
set_cs0 … 1 
 CONF
Der Wert von @use muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC)
@nullFlavor
cs0 … 1FNI
 Constrainten-US If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present.
hl7:guardianPerson
1 … 1RIPSCdotsrget
hl7:name
PN1 … *Ren-US Patient Guardian's NameIPSCdotsrget
hl7:family
ENXP1 … *Ren-US Patient Guardian's Family Name/SurnameIPSCdotsrget
hl7:given
ENXP1 … *Ren-US Patient Guardian's Given NameIPSCdotsrget
hl7:languageCommunication
0 … *RIPSCdotsrget
hl7:languageCode
CS1 … 1Ren-US Patient’s languageIPSCdotsrget
 Constrainten-US 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 All Languages (DYNAMIC)
 Beispiel
British English
<languageCode code="en-GB"/>
 Beispiel
Amurdak (Australia)
<languageCode code="amg-AU"/>
 Schematron assertrolered 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) 
Eingefügt1 … *M von 2.16.840.1.113883.10.22.2.2 IPS CDA author (DYNAMIC)
hl7:author
1 … *MIPSCdotsthor
@typeCode
cs0 … 1FAUT
@contextControlCode
cs0 … 1FOP
 Beispiel<author>
  <time value="201212290600+0100"/>  <assignedAuthor>
    <id root="2.16.840.1.113883.2.9.4.3.2" extension="RSSMRA00A01F205F" assigningAuthorityName="Ministero Economia e Finanze"/>    <addr use="WP">
      <streetAddressLine>Viale della Cristallina
3</streetAddressLine>      <city>Bologna</city>      <state>BO</state>      <postalCode>40121</postalCode>      <country>IT</country>    </addr>    <telecom use="WP" value="tel:+39-051-34343434"/>    <assignedPerson>
      <name>
        <given>Paolo</given>        <family>Rossi</family>      </name>    </assignedPerson>  </assignedAuthor>  <representedOrganization>
    <!-- template 'IPS CDA Organization' (dynamic) -->
  </representedOrganization></author>
hl7:functionCode
CE.IPS0 … 1RIPSCdotsthor
hl7:time
TS.IPS.TZ1 … 1Ren-US The author/time element represents the start time of the author’s participation in the creation of the clinical document. IPSCdotsthor
 Beispiel<time value="201212290600+0100"/>
hl7:assignedAuthor
1 … 1RIPSCdotsthor
@classCode
cs0 … 1FASSIGNED
hl7:id
II1 … *Ren-US Author Identifier(s)IPSCdotsthor
@nullFlavor
cs0 … 1 
hl7:code
CE.IPS (extensible)0 … 1Ren-US A code, which identifies the profession/competence/specialty of the author when it is a person.IPSCdotsthor
 CONF
Der Wert von @code sollte gewählt werden aus dem Value Set 2.16.840.1.113883.11.22.53 IPS Healthcare Professional Roles (DYNAMIC)
 Beispiel<code code="221" codeSystem="2.16.840.1.113883.2.9.6.2.7" codeSystemName="ISCO" displayName="Medical doctors"/>
hl7:addr
AD.IPS1 … *RIPSCdotsthor
 Beispiel<addr use="WP">
  <streetAddressLine>Viale della Cristallina 3</streetAddressLine>  <city>Bologna</city>  <state>BO</state>  <postalCode>40121</postalCode>  <country>IT</country></addr>
hl7:telecom
TEL.IPS1 … *RIPSCdotsthor
@use
set_cs0 … 1 
 CONF
Der Wert von @use muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC)
@value
st0 … 1 
 Beispiel<telecom use="WP" value="tel:+39-051-34343434"/>
 Beispiel<telecom nullFlavor="NI"/>
Auswahl1 … 1Elemente in der Auswahl:
hl7:assignedPerson
0 … 1CIPSCdotsthor
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN1 … *Ren-US Name of the person (e.g. the Healthcare Professional)  authoring this documentIPSCdotsthor
 Beispiel<name>
  <given>John</given>  <family>Español Smith</family></name>
hl7:family
1 … *RIPSCdotsthor
hl7:given
1 … *RIPSCdotsthor
hl7:assignedAuthoringDevice
0 … 1CBeinhaltet 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC)IPSCdotsthor
 Beispiel<assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
  <softwareName displayName="Turriano"/></assignedAuthoringDevice>
hl7:representedOrganization
0 … 1RBeinhaltet 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC)IPSCdotsthor
Eingefügt1 … 1M von 2.16.840.1.113883.10.22.2.3 IPS CDA custodian (DYNAMIC)
hl7:custodian
1 … 1MIPSCdotsdian
@typeCode
cs0 … 1FCST
 Beispiel<custodian typeCode="CST">
  <assignedCustodian classCode="ASSIGNED">
    <representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
      <!-- template 'IPS CDA Organization' (dynamic) -->
    </representedCustodianOrganization>  </assignedCustodian></custodian>
hl7:assignedCustodian
1 … 1RIPSCdotsdian
@classCode
cs0 … 1FASSIGNED
hl7:representedCustodianOrganization
1 … 1RIPSCdotsdian
@classCode
cs0 … 1FORG
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II1 … *RIPSCdotsdian
@nullFlavor
cs0 … 1 
hl7:name
ON1 … 1RIPSCdotsdian
@nullFlavor
cs0 … 1 
hl7:telecom
TEL1 … 1RIPSCdotsdian
@use
set_cs1 … 1R
 CONF
Der Wert von @use muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC)
@nullFlavor
cs0 … 1 
 Constrainten-US If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present.
hl7:addr
AD.IPS1 … 1RIPSCdotsdian
Eingefügt von 2.16.840.1.113883.10.22.11 IPS Address (DYNAMIC)
@use
set_cs0 … 1 
 CONF
Der Wert von @use muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.10637 PostalAddressUse (2005‑05‑01)
@nullFlavor
cs0 … 1FNI
 Constrainten-US SHALL NOT have mixed content except for white space
If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.
 Schematron assertrolered error 
 test@nullFlavor or hl7:* 
 MeldungIf addr is not nullflavored at least one sub element has to be provided 
hl7:streetAddressLine
ADXP0 … *Cen-US Subject's or Organization's Street Address LineIPSAdotsress
 Schematron assertrolered error 
 testhl7:streetAddressLine and (hl7:city or hl7:postalCode) 
 MeldungIf the address line is included either the city or the zip code has to be provided 
hl7:city
ADXP0 … 1Cen-US Subject's or Organization's CityIPSAdotsress
hl7:postalCode
ADXP0 … 1Cen-US Subject's or Organization's Postal CodeIPSAdotsress
hl7:state
ADXP0 … 1Cen-US Subject's or Organization's State or ProvinceIPSAdotsress
hl7:country
ADXP0 … 1Cen-US Subject's Country.IPSAdotsress
 Constrainten-US The content of this element SHALL be selected EITHER from ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300  DYNAMIC OR MAY be selected from ISO Country Alpha-3 2.16.840.1.113883.1.11.171 DYNAMIC, IF the country is not specified in ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300.
Eingefügt0 … 1R von 2.16.840.1.113883.10.22.2.4 IPS CDA legalAuthenticator (DYNAMIC)
hl7:legalAuthenticator
0 … 1RIPSCdotsator
 Beispiel<legalAuthenticator>
  <time value="20111013150937-0800"/>  <signatureCode code="S"/>  <assignedEntity>
    <id extension="admin" root="2.16.17.710.780.1000.903.1.1.3.3"/>    <assignedPerson>
      <name>
        <given>John</given>        <family>Español Smith</family>      </name>    </assignedPerson>    <representedOrganization>
      <name>Healthcare Facility's
name</name>      <addr>
        <country>NL</country>        <streetName>Duinweg</streetName>        <houseNumber>23</houseNumber>        <postalCode>7364 RX</postalCode>        <city>Amsterdam</city>      </addr>    </representedOrganization>  </assignedEntity></legalAuthenticator>
hl7:time
TS.IPS.TZ1 … 1Men-US Time of signing the documentIPSCdotsator
hl7:signatureCode
CS0 … 1Ren-US Signature codeIPSCdotsator
@code
CONF0 … 1FS
hl7:assignedEntity
0 … 1Ren-US The entity that is responsible for the legal authentication of the CDA documentIPSCdotsator
hl7:id
1 … *Ren-US Unique identification of legal authenticatorIPSCdotsator
hl7:addr
AD.IPS1 … *RIPSCdotsator
hl7:telecom
TEL.IPS1 … *RIPSCdotsator
hl7:assignedPerson
1 … 1RIPSCdotsator
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN1 … *Ren-US Name of the legal authenticatorIPSCdotsator
 Beispiel<name>
  <given>John</given>  <family>Español Smith</family></name>
hl7:family
1 … *Ren-US HP Family Name/SurnameIPSCdotsator
hl7:given
1 … *Ren-US HP Given NameIPSCdotsator
hl7:representedOrganization
1 … 1Men-US Organization the legal authenticator is acting for
Beinhaltet 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC)		IPSCdotsator
Eingefügt0 … * von 2.16.840.1.113883.10.22.2.5 IPS Patient Contacts (DYNAMIC)
hl7:participant
0 … *Ren-US Patient contacts or the Preferred Health Professional to contact in case of emergency.IPSCdotsacts
wo [hl7:templateId/@root='2.16.840.1.113883.10.22.2.5']
@typeCode
cs1 … 1FIND
 Beispiel<participant typeCode="IND">
  <templateId root="2.16.840.1.113883.10.22.2.5"/>  <associatedEntity classCode="NOK">
    <addr>
      <streetAddressLine>Promenade des Anglais 111</streetAddressLine>      <city>Lyon</city>      <postalCode>69001</postalCode>      <country>FR</country>    </addr>    <telecom value="tel:(+33)555-20036" use="WP"/>    <associatedPerson>
      <name>
        <given>Martha</given>        <family>Mum</family>      </name>    </associatedPerson>  </associatedEntity></participant>
hl7:templateId
II1 … 1MIPSCdotsacts
@root
uid1 … 1F2.16.840.1.113883.10.22.2.5
hl7:functionCode
0 … 1Cen-US The   element may be used to indicate that this participant is the preferred Health Professional to contact in case of emergency.IPSCdotsacts
@code
CONF0 … 1FPCP
@codeSystem
0 … 1F2.16.840.1.113883.5.88
hl7:associatedEntity
Ren-US The element identifies the type of contact. IPSCdotsacts
@classCode
cs1 … 1R
 CONF
Der Wert von @classCode muss gewählt werden aus dem Value Set 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes (DYNAMIC)
 Beispiel<associatedEntity classCode="ECON">
  <addr>
    <streetAddressLine>Karl Strasse</streetAddressLine>    <city>Freiberg</city>    <postalCode>09599</postalCode>    <country>DE</country>  </addr>  <telecom value="tel:+49-761-11110000" use="WP"/>  <associatedPerson>
    <name>
      <given>Arzt</given>      <family>Guter</family>    </name>  </associatedPerson></associatedEntity>
hl7:code
CV.IPS0 … 1Ren-US This element indicates the relationship between the patient and this participant.IPSCdotsacts
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.11.22.54 IPS Personal Relationship (DYNAMIC)
oder
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.11.22.53 IPS Healthcare Professional Roles (DYNAMIC)
 Beispiel<code code="AUNT" displayName="θεία" codeSystem="2.16.840.1.113883.5.111"/>
hl7:addr
AD.IPS1 … *Ren-US Patient Contact's / Preferred HP's AddressIPSCdotsacts
 Schematron assertrolered error 
 test@nullFlavor or hl7:* 
 MeldungIf addr is not nullflavored at least one sub element has to be provided 
Eingefügt von 2.16.840.1.113883.10.22.11 IPS Address (DYNAMIC)
@use
set_cs0 … 1 
 CONF
Der Wert von @use muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.10637 PostalAddressUse (2005‑05‑01)
@nullFlavor
cs0 … 1FNI
 Constrainten-US SHALL NOT have mixed content except for white space
If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.
 Schematron assertrolered error 
 test@nullFlavor or hl7:* 
 MeldungIf addr is not nullflavored at least one sub element has to be provided 
hl7:streetAddressLine
ADXP0 … *Cen-US Subject's or Organization's Street Address LineIPSAdotsress
 Schematron assertrolered error 
 testhl7:streetAddressLine and (hl7:city or hl7:postalCode) 
 MeldungIf the address line is included either the city or the zip code has to be provided 
hl7:city
ADXP0 … 1Cen-US Subject's or Organization's CityIPSAdotsress
hl7:postalCode
ADXP0 … 1Cen-US Subject's or Organization's Postal CodeIPSAdotsress
hl7:state
ADXP0 … 1Cen-US Subject's or Organization's State or ProvinceIPSAdotsress
hl7:country
ADXP0 … 1Cen-US Subject's Country.IPSAdotsress
 Constrainten-US The content of this element SHALL be selected EITHER from ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300  DYNAMIC OR MAY be selected from ISO Country Alpha-3 2.16.840.1.113883.1.11.171 DYNAMIC, IF the country is not specified in ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300.
hl7:telecom
TEL1 … *Ren-US Patient Contact's / Preferred HP's/Legal Organization telephone or e-mail element is required.IPSCdotsacts
@use
set_cs0 … 1 
 CONF
Der Wert von @use muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC)
@nullFlavor
cs0 … 1FNI
 Constrainten-US If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present
 Beispiel<telecom use="WP" value="tel:+45 20 7025 6161"/><telecom use="HP" value="mailto:jsmith@myprovider.co.uk"/>
Auswahl1 … 2Elemente in der Auswahl:
  • hl7:associatedPerson
  • hl7:scopingOrganization
hl7:associatedPerson
0 … 1Cen-US Or the associatedPerson, or the scopingOrganization, or both elements shall be providedIPSCdotsacts
hl7:name
PN1 … *Ren-US Patient Contact's Name / Preferred HP's NameIPSCdotsacts
 Beispiel<name>
  <given>John</given>  <family>Español Smith</family></name>
hl7:family
1 … *Ren-US Patient Contact's Family Name/Surname / Preferred HP's Family Name/SurnameIPSCdotsacts
hl7:given
1 … *Ren-US Patient Contact's Given Name / Preferred HP's Given NameIPSCdotsacts
hl7:scopingOrganization
0 … 1Cen-US Or the associatedPerson, or the scopingOrganization, or both elements shall be providedIPSCdotsacts
hl7:name
ON1 … *Ren-US Organization's NameIPSCdotsacts
Eingefügt1 … 1M von 2.16.840.1.113883.10.22.2.6 IPS CDA documentationOf (DYNAMIC)
hl7:documentationOf
1 … 1Men-US The documentationOf relationship in an International Patient Summary contains the representation of providers who are wholly or partially responsible for the safety and well-being of a subject of care.IPSddotsPCPR
@typeCode
cs0 … 1FDOC
 Beispiel<documentationOf>
  <serviceEvent classCode="PCPR">
    <effectiveTime>
      <low nullFlavor="NI"/>      <high value="20110308"/>    </effectiveTime>    <performer typeCode="PRF">
      <!-- See example below -->
    </performer>  </serviceEvent></documentationOf>
hl7:serviceEvent
1 … 1Ren-US The main activity being described by a IPS is the provision of healthcare over a period of time. This is shown by setting the value of serviceEvent/@classCode to “PCPR” (care provision) and indicating the duration over which care was provided in serviceEvent/effectiveTime. Additional data from outside this duration may also be included if it is relevant to care provided during that time range (e.g., reviewed during the stated time range).

For example if the IPS is generated by a GP based on information recorded in his/her EHR-S, then the low value should represent the date when the treatment relationship between the patient and the GP started; and the high value the date of the latest care event.		IPSddotsPCPR
@classCode
cs1 … 1FPCPR
@moodCode
cs1 … 1FEVN
hl7:id
II0 … *RIPSddotsPCPR
hl7:effectiveTime
IVL_TS1 … 1RIPSddotsPCPR
hl7:low
TS1 … 1RIPSddotsPCPR
hl7:high
TS1 … 1RIPSddotsPCPR
hl7:performer
0 … *Ren-US It represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient’s key healthcare providers would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselorsIPSddotsPCPR
@typeCode
cs1 … 1R
 CONF
Der Wert von @typeCode muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19601 x_ServiceEventPerformer (DYNAMIC)
 Beispiel<performer typeCode="PRF">
  <assignedEntity>
    <id assigningAuthorityName="MEF" displayable="false" extension="DVLMMG57R07F205G" root="2.16.840.1.113883.2.9.4.3.2"/>    <code code="221" codeSystem="2.16.840.1.113883.2.9.6.2.7" codeSystemName="ISCO" displayName="Medical doctors">
      <translation codeSystem="2.16.840.1.113883.2.9.5.1.111" code="MMG" displayName="Medico di Medicina Generale"/>    </code>    <addr nullFlavor="NI"/>    <telecom nullFlavor="NI"/>    <assignedPerson>
      <name>
        <family>DVALUNO</family>        <given>MMG</given>      </name>    </assignedPerson>    <representedOrganization>
      <id assigningAuthorityName="A.S.L. DELLA PROVINCIA DI LECCO" extension="030305" root="2.16.840.1.113883.2.9.4.1.1"/>      <name>A.S.L. DELLA PROVINCIA
DI LECCO</name>      <telecom nullFlavor="NI"/>      <addr>
        <state>LECCO</state>        <city>LECCO</city>        <country>IT</country>        <postalCode>23900</postalCode>        <streetAddressLine>CORSO CARLO ALBERTO,120</streetAddressLine>      </addr>    </representedOrganization>  </assignedEntity></performer>
hl7:functionCode
CE.IPS0 … 1RIPSddotsPCPR
hl7:time
IVL_TS.IPS.TZ0 … 1RIPSddotsPCPR
hl7:assignedEntity
1 … 1MIPSddotsPCPR
hl7:id
II1 … *Ren-US Healthcare provider ID numberIPSddotsPCPR
hl7:code
CE.IPS (extensible)0 … 1Ren-US It describes the professional role of the healthcare provider involved in the current or pertinent historical care of the patient.IPSddotsPCPR
 CONF
Der Wert von @code sollte gewählt werden aus dem Value Set 2.16.840.1.113883.11.22.53 IPS Healthcare Professional Roles (DYNAMIC)
hl7:addr
AD.IPS1 … *RIPSddotsPCPR
hl7:telecom
TEL.IPS1 … *RIPSddotsPCPR
hl7:assignedPerson
0 … 1Beinhaltet 2.16.840.1.113883.10.22.9.3 IPS CDA Person (DYNAMIC)IPSddotsPCPR
hl7:representedOrganization
0 … 1Beinhaltet 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC)IPSddotsPCPR
Eingefügt0 … *R von 2.16.840.1.113883.10.22.2.7 IPS CDA relatedDocument (DYNAMIC)
 Constrainten-US 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. 
hl7:relatedDocument
0 … *RIPSCdotsment
@typeCode
cs1 … 1R
 CONF
Der Wert von @typeCode muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.11610 x_ActRelationshipDocument (DYNAMIC)
hl7:parentDocument
1 … 1RIPSCdotsment
@classCode
cs0 … 1FDOCCLIN
@moodCode
cs0 … 1FEVN
hl7:id
II1 … *RIPSCdotsment
hl7:code
CD.IPS0 … 1RIPSCdotsment
@codeSystem
CONF0 … 1F2.16.840.1.113883.6.1
hl7:text
ED0 … 1RIPSCdotsment
hl7:setId
II0 … 1RIPSCdotsment
hl7:versionNumber
INT0 … 1RIPSCdotsment
hl7:component
1 … 1MHL7‑IPS
hl7:structuredBody
1 … 1Men-US Note: the proposed order of the sections hereafter indicated is not mandatoryHL7‑IPS
@classCode
cs0 … 1FDOCBODY
hl7:component
1 … 1MBeinhaltet 2.16.840.1.113883.10.22.3.1 IPS Medication Summary Section (DYNAMIC)HL7‑IPS
hl7:component
1 … 1MBeinhaltet 2.16.840.1.113883.10.22.3.2 IPS Allergies and Intolerances Section (DYNAMIC)HL7‑IPS
hl7:component
1 … 1MBeinhaltet 2.16.840.1.113883.10.22.3.3 IPS Problems Section (DYNAMIC)HL7‑IPS
hl7:component
0 … 1RBeinhaltet 2.16.840.1.113883.10.22.3.4 IPS History of Procedures Section (DYNAMIC)HL7‑IPS
hl7:component
0 … 1RBeinhaltet 2.16.840.1.113883.10.22.3.5 IPS Immunizations Section (DYNAMIC)HL7‑IPS
hl7:component
0 … 1RBeinhaltet 2.16.840.1.113883.10.22.3.6 IPS Medical Devices Section (DYNAMIC)HL7‑IPS
hl7:component
0 … 1RBeinhaltet 2.16.840.1.113883.10.22.3.14 IPS Results Section (DYNAMIC)HL7‑IPS
hl7:component
0 … 1RBeinhaltet
alertFehler: Kann das Template "1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2" (DYNAMIC) nicht finden
HL7‑IPS
hl7:component
0 … 1Beinhaltet 2.16.840.1.113883.10.22.3.7 IPS History of Past Illness Section (DYNAMIC)HL7‑IPS
hl7:component
0 … 1Beinhaltet 2.16.840.1.113883.10.22.3.8 IPS Functional Status Section (DYNAMIC)HL7‑IPS
hl7:component
0 … 1Beinhaltet 2.16.840.1.113883.10.22.3.9 IPS Plan of Care Section (DYNAMIC)HL7‑IPS
hl7:component
0 … 1Beinhaltet 2.16.840.1.113883.10.22.3.10 IPS Social History Section (DYNAMIC)HL7‑IPS
hl7:component
0 … 1Beinhaltet 2.16.840.1.113883.10.22.3.11 IPS History of Pregnancy Section (DYNAMIC)HL7‑IPS
hl7:component
0 … 1Beinhaltet 2.16.840.1.113883.10.22.3.12 IPS Advance Directives Section (DYNAMIC)HL7‑IPS